John E. Adcock, D.D.S., M.S. Valid NPI

Individual provider · Periodontics · Tyler, TX

NPI

1922005503

Type

Individual (Type 1)

Primary specialty

Periodontics (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223P0300X

License number

10911 (TX)

Sex

Male

Sole proprietor

No

Enumerated

2005-06-28

Last updated

2007-07-09