MEDICARE: DOUGLAS A MCADAMS DDS PZ

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	1223G0001X	General Practice Dentistry	14664	TX

General Provider Information

NPI Number	:	1447465000
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOUGLAS A MCADAMS DDS PZ

Provider Business Mailing Address
First Line	:	4200 N INTERSTATE 35
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76207-3441
Country	:	US
Telephone Number	:	940-591-9362
Fax Number	:	940-484-0405

Provider Business Practice Location Address
First Line	:	4200 N INTERSTATE 35 EAST
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76207-3441
Country	:	US
Telephone Number	:	940-591-9362
Fax Number	:	940-484-0405

Authorized Official
Title or Position	:	SOLE PROPRIETOR
Name	:	DR. DOUGLAS ARMSTRONG MCADAMS
Credential	:	D.D.S
Telephone Number	:	940-591-9362

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	08/22/2020

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