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Provider Information for 1447601505



DR. ADAM CULVER D.M.D

Gender: MALE

Individual NPI: 1447601505

Calendar   Last Updated:  2016-06-29
  Certification Date: 

Details

Name Value
NPI 1447601505
Enumeration Date 2016-06-29
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 12020 N 35TH AVE STE 112
PHOENIX, AZ 85029-3213
United States

Phone: | Fax:
View Map External Link
Primary Practice Address 12020 N 35TH AVE STE 112
PHOENIX, AZ 85029-3213
United States

Phone: 602-547-9007 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice AZ D009465