Provider Demographics
NPI:1053700971
Name:ARMSTRONG, ADAM (DMD, MS)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13524 W ALVARADO DR
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85395-2415
Mailing Address - Country:US
Mailing Address - Phone:801-390-1978
Mailing Address - Fax:
Practice Address - Street 1:13524 W ALVARADO DR
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395-2415
Practice Address - Country:US
Practice Address - Phone:801-390-1978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-15
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD0091241223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics