Healthcare Provider Details

I. General information

NPI: 1700926078
Provider Name (Legal Business Name): DEAN R ADAMS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 SAINT FRANCIS DR STE 360
GREENVILLE SC
29601-3972
US

IV. Provider business mailing address

6795 HILLOCK CT
FLORENCE KY
41042-1173
US

V. Phone/Fax

Practice location:
  • Phone: 864-233-4349
  • Fax:
Mailing address:
  • Phone: 859-630-7501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number35071
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number293639
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License NumberMD468500
License Number StatePA
# 4
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number95183
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: