Lord Dental, P.A. in Fort Worth - Orthodontics And Dentofacial Orthopedics
Lord Dental, P.A. - NPI 1316013436
Lord Dental, P.A. is a Orthodontics And Dentofacial Orthopedics in Fort Worth, Texas. Lord Dental, P.A. practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Lord Dental, P.A. is 1316013436. The last update date is 2016-05-11.
Lord Dental, P.A.'s current location address is 4509 E Lancaster Ave, Fort Worth, Texas. You can contact this provider via phone number 8175461020. The mailing address for Lord Dental, P.A. is 4509 E Lancaster Ave, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lord Dental, P.A. |
|---|---|
| Address | 4509 E Lancaster Ave, Fort Worth, Texas |
| Phone Number | 8175461020 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Lord Leyla |
| Credentials | D.M.D. |
| Telephone Number | 9729049248 |
NPI Number Detail
| NPI Number | 1316013436 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2016-05-11 |
Provider Mailing Address Detail
| Address | 4509 E Lancaster Ave |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761033210 |
| Phone Number | 8175461020 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 22028 |
|
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 177614801 | TX | -- | |
| B2202801 | TX | CHIP |
Post Comment/ Review Below
What is the unique provider identifier assigned to Lord Dental, P.A.?
The Lord Dental, P.A. has been issued the NPI (National Provider Identifier) 1316013436 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Lord Dental, P.A. is geographically located?
The Lord Dental, P.A. is physically situated at the following location: 4509 E Lancaster Ave, Fort Worth, TX, 761033210.
What is Lord Dental, P.A.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Lord Dental, P.A.'s area of specialization is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this field of practice is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1316013436 to Lord Dental, P.A.?
The Centers for Medicare & Medicaid Services originally issued the 1316013436 to Lord Dental, P.A. on 2006-11-28.
When was the information regarding Lord Dental, P.A., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lord Dental, P.A., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-05-11.
NPI Number: 1902802911
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