Organization
LYDE J ADAMS DDS INC
Active
Other names
Black Hills Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYDE J ADAMS DDS (PRES/CEO)
(605) 348-4868
Entity
Organization
Contact information
Practice address
2525 W MAIN ST, SUITE 206, RAPID CITY, SD 57702-0901
(605) 348-4868
(605) 737-7870
Mailing address
2525 W MAIN ST, SUITE 206, RAPID CITY, SD 57702-0901
(605) 348-4868
(605) 737-7870
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D1012
SD
Other
Enumeration date
10/14/2013
Last updated
07/08/2014
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