Provider Demographics
NPI:1881945616
Name:ADAMS, KRISTEN JAYE (DDS)
Entity type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:JAYE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 SCRIPPS DRIVE
Mailing Address - Street 2:SUITE 307
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825
Mailing Address - Country:US
Mailing Address - Phone:916-927-0800
Mailing Address - Fax:916-927-1745
Practice Address - Street 1:2 SCRIPPS DR
Practice Address - Street 2:SUITE 307
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-6207
Practice Address - Country:US
Practice Address - Phone:916-927-0800
Practice Address - Fax:916-927-1745
Is Sole Proprietor?:No
Enumeration Date:2012-09-19
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA618631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice