Stephen M Adam, DMD
Individual provider Active NPI Dentist · Littlefield, AZ
NPI 1992060131 · NPPES record last updated Jul 12, 2012
Key facts
- NPI
- 1992060131
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- D008481 (AZ)
- Practice address
- 3272 E Rio Virgin Rd
Littlefield, AZ 86432-3200 - Phone
- (435) 668-4057
- NPI assigned
- Jul 12, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D008481 | AZ | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D008481 | AZ | Yes |
Addresses
Primary practice location
3272 E Rio Virgin Rd
Littlefield, AZ 86432-3200
Mailing address
3617 E Silvercreek Dr
Washington, UT 84780-1979
Other providers in Littlefield, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.