MEDICARE: DR. PRESTON ADAMS

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	122300000X	Dentist	7631	NV

General Provider Information

NPI Number	:	1811612732
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PRESTON ADAMS

Provider Business Mailing Address
First Line	:	500 E WINDMILL LN STE 130
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-1845
Country	:	US
Telephone Number	:	702-228-1106
Fax Number	:	702-541-9849

Provider Business Practice Location Address
First Line	:	500 E WINDMILL LN STE 130
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-1845
Country	:	US
Telephone Number	:	702-228-1106
Fax Number	:	702-541-9849

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2022
Last Update Date	:	10/04/2022

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Directions to “ DR. PRESTON ADAMS ” Practice Location

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