Provider Demographics
NPI:1366854515
Name:MCADAMS, RICK ALLEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICK
Middle Name:ALLEN
Last Name:MCADAMS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3482 N STATE ROAD 9
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46012-1240
Mailing Address - Country:US
Mailing Address - Phone:765-642-1612
Mailing Address - Fax:765-642-1612
Practice Address - Street 1:3482 N STATE ROAD 9
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46012-1240
Practice Address - Country:US
Practice Address - Phone:765-642-1612
Practice Address - Fax:765-642-1612
Is Sole Proprietor?:No
Enumeration Date:2014-05-22
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12012109A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist