Provider Demographics
NPI:1790495133
Name:MCADAMS DENTAL, INC.
Entity Type:Organization
Organization Name:MCADAMS DENTAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:MCADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:480-991-4727
Mailing Address - Street 1:11111 N SCOTTSDALE RD STE 220
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-6732
Mailing Address - Country:US
Mailing Address - Phone:480-991-4727
Mailing Address - Fax:480-596-4087
Practice Address - Street 1:11111 N SCOTTSDALE RD STE 220
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-6732
Practice Address - Country:US
Practice Address - Phone:480-991-4727
Practice Address - Fax:480-596-4087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-28
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty