MEDICARE: SYNERGISTIC DENTAL ARTS PLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1356430995
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYNERGISTIC DENTAL ARTS PLC

Provider Business Mailing Address
First Line	:	2855 E BROWN RD
Second Line	:	STE 22
City	:	MESA
State	:	AZ
Zip	:	85213
Country	:	US
Telephone Number	:	480-830-2956
Fax Number	:	480-830-3019

Provider Business Practice Location Address
First Line	:	2855 E BROWN RD
Second Line	:	STE 22
City	:	MESA
State	:	AZ
Zip	:	85213
Country	:	US
Telephone Number	:	480-830-2956
Fax Number	:	480-830-3019

Authorized Official
Title or Position	:	DENTIST OWNER OF PRACTICE
Name	:	DR. LAWRENCE SCOTT ADAMS
Credential	:	DDS
Telephone Number	:	480-830-2956

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	08/22/2020

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