MEDICARE: LYDE J ADAMS DDS INC

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	D1012	SD

General Provider Information

NPI Number	:	1720416506
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LYDE J ADAMS DDS INC

Provider Business Mailing Address
First Line	:	2525 W MAIN ST
Second Line	:	SUITE 206
City	:	RAPID CITY
State	:	SD
Zip	:	57702-0901
Country	:	US
Telephone Number	:	605-348-4868
Fax Number	:	605-737-7870

Provider Business Practice Location Address
First Line	:	2525 W MAIN ST
Second Line	:	SUITE 206
City	:	RAPID CITY
State	:	SD
Zip	:	57702-0901
Country	:	US
Telephone Number	:	605-348-4868
Fax Number	:	605-737-7870

Authorized Official
Title or Position	:	PRES/CEO
Name	:	DR. LYDE J ADAMS
Credential	:	DDS
Telephone Number	:	605-348-4868

Provider Enumeration Date	:	10/14/2013
Last Update Date	:	07/08/2014

Similar Medicare Providers

1609966779 — DR. NATHAN WILLIAM SCHWANDT D.D.S.
Practice Location Address:

2525 W MAIN ST , SUITE 206
RAPID CITY, SD
57702-0901

Practice Phone: 605-348-4868
Practice Fax:

1578640009 — DR. CHAD CARPENTER DDS,PC
Practice Location Address:

2525 W MAIN ST , SUITE 307
RAPID CITY, SD
57702-0901

Practice Phone: 605-342-5995
Practice Fax:

1245386168 — DR. MARK ELLIOTT HOGG DDS, SCD
Practice Location Address:

2525 W MAIN ST , STE. 206
RAPID CITY, SD
57702-0901

Practice Phone: 605-348-4868
Practice Fax:

1669675724 — CHAD M. CARPENTER DDS
Practice Location Address:

2525 W MAIN ST , SUITE #307
RAPID CITY, SD
57702-0901

Practice Phone: 605-342-5995
Practice Fax:

1023436276 — LYDE J. ADAMS, D.D.S. INC.
Practice Location Address:

2525 W MAIN ST , STE # 206
RAPID CITY, SD
57702-0901

Practice Phone: 605-348-4868
Practice Fax: 605-737-7870

1376771196 — DR. SHYLER DEE VINCENT DDS
Practice Location Address:

1201 NORTH STONEWALL , UNIV. OF OK COLLEGE OF DENTISTRY, AEGD
OKLAHOMA CITY, OK
73126-0901

Practice Phone: 405-271-5222
Practice Fax:

Directions to “LYDE J ADAMS DDS INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.