Provider Demographics
NPI:1225914708
Name:JAVIER, ADRIAN (RDH)
Entity type:Individual
Prefix:
First Name:ADRIAN
Middle Name:
Last Name:JAVIER
Suffix:
Gender:X
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7567 EL CAJON BLVD APT 6
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-7606
Mailing Address - Country:US
Mailing Address - Phone:910-265-6797
Mailing Address - Fax:
Practice Address - Street 1:USS MAKIN ISLAND LHD8
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96672
Practice Address - Country:US
Practice Address - Phone:619-556-4141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDH34693124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist