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NPI Code Detail

MEDICARE: DR. ALEC ALEXANDER ADAMS DMD

MEDICARE:  DR. ALEC ALEXANDER 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
1122300000XDentist9430SC

General Provider Information

NPI Number : 1972155596
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEC ALEXANDER ADAMS DMD
Provider Business Mailing Address
First Line : 1663 GLENNS BAY RD
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29575-4836
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1663 GLENNS BAY RD
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29575-4836
Country : US
Telephone Number : 843-215-6080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2019
Last Update Date : 07/13/2019

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Directions to “ DR. ALEC ALEXANDER ADAMS DMD” Practice Location

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