Island Dental

Primary specialty

DentistTaxonomy code 122300000X

License

AZ5662 Issued in AZ

Legal business name

ISLAND DENTAL

Practice address

1489 W Elliot Rd Ste 101
Gilbert, AZ 85233-5168

Phone

(480) 507-9400

Fax

(480) 507-9474

NPI assigned

Jun 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lyde Jefferson Adams, DDS

Title

Owner

Phone

(480) 507-9400

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780880880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1489 W ELLIOT RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335168",
            "telephone_number": "480-507-9400",
            "fax_number": "480-507-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1489 W ELLIOT RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335168",
            "telephone_number": "480-507-9400",
            "fax_number": "480-507-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "LYDE",
        "authorized_official_middle_name": "JEFFERSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-507-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "AZ5662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ironwood Physicians, PC
• Michelle Irvin, P.T.
• Michelle Irwin
• Zoe A Irwin
• Nooredeen Jamal Younes Isbeih, M.D.
• Kevin Carlos Islas Lugo, PHARMD
• Jaline Israel, RBT
• Maegan Ranea Istok, D.C.
• Daniela Ivan, MD
• Brenda Ives, PHARMD

• Dentist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.