MEDICARE: SEAN THOMAS ADAMS DMD

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	00204781	CO

General Provider Information

NPI Number	:	1932873098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEAN THOMAS ADAMS DMD

Provider Business Mailing Address
First Line	:	1924 SEVEN LAKES DR
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-4842
Country	:	US
Telephone Number	:	760-975-9446
Fax Number	:

Provider Business Practice Location Address
First Line	:	1924 SEVEN LAKES DR
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-4842
Country	:	US
Telephone Number	:	760-975-9446
Fax Number	:

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

Provider Enumeration Date	:	08/03/2021
Last Update Date	:	01/26/2026

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