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NPI Code Detail

MEDICARE: DR. MARK ALLAN MCADAMS DDS

MEDICARE:  DR. MARK ALLAN MCADAMS  DDS
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
11223G0001XGeneral Practice Dentistry16368TX

General Provider Information

NPI Number : 1457394140
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK ALLAN MCADAMS DDS
Provider Business Mailing Address
First Line : 108 S RANCH HOUSE RD
Second Line : STE 1200
City : ALEDO
State : TX
Zip : 76008-2663
Country : US
Telephone Number : 817-441-8003
Fax Number : 817-441-8223
Provider Business Practice Location Address
First Line : 108 S RANCH HOUSE RD
Second Line : STE 1200
City : ALEDO
State : TX
Zip : 76008-2691
Country : US
Telephone Number : 817-441-8003
Fax Number : 817-441-8223
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2006
Last Update Date : 07/08/2007

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Directions to “ DR. MARK ALLAN MCADAMS DDS” Practice Location

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