MEDICARE: ADAM GARAAS 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	1223G0001X	General Practice Dentistry	29459	TX

General Provider Information

NPI Number	:	1689009771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM GARAAS DMD

Provider Business Mailing Address
First Line	:	205 E UNIVERSITY AVE
Second Line	:	STE 200
City	:	GEORGETOWN
State	:	TX
Zip	:	78626-6814
Country	:	US
Telephone Number	:	512-868-1124
Fax Number	:	512-868-9894

Provider Business Practice Location Address
First Line	:	2411 WILLIAMS DR
Second Line	:	STE 111
City	:	GEORGETOWN
State	:	TX
Zip	:	78628-3271
Country	:	US
Telephone Number	:	512-864-1445
Fax Number	:

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

Provider Enumeration Date	:	09/07/2013
Last Update Date	:	02/24/2021

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