Provider Demographics
NPI:1487224986
Name:LORDS, ADAM NICHOLAS (DMD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:NICHOLAS
Last Name:LORDS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2950 S RAINBOW BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-6230
Mailing Address - Country:US
Mailing Address - Phone:702-227-6510
Mailing Address - Fax:
Practice Address - Street 1:2950 S RAINBOW BLVD STE 200
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-6230
Practice Address - Country:US
Practice Address - Phone:702-227-6510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-28
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV74941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice