Mikulencak Orthodontics in Fort Worth - Orthodontics And Dentofacial Orthopedics
Mikulencak Orthodontics - NPI 1912187428
Mikulencak Orthodontics is a Orthodontics And Dentofacial Orthopedics in Fort Worth, Texas. Mikulencak Orthodontics practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Mikulencak Orthodontics is 1912187428. The last update date is 2008-04-07.
Mikulencak Orthodontics's current location address is 4544 Hartwood Dr, Fort Worth, Texas. You can contact this provider via phone number 8179235400. The mailing address for Mikulencak Orthodontics is 4544 Hartwood Dr, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Mikulencak Orthodontics |
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Address | 4544 Hartwood Dr, Fort Worth, Texas |
Phone Number | 8179235400 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Mikulencak Matthew David |
Credentials | DDS, MS |
Telephone Number | 8179235400 |
NPI Number Detail
NPI Number | 1912187428 |
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Provider Enumeration Date | 2007-11-13 |
Last Updated Date | 2008-04-07 |
Provider Mailing Address Detail
Address | 4544 Hartwood Dr |
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City | Fort Worth |
State | Texas (TX) |
Post Code | 761091840 |
Phone Number | 8179235400 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Orthodontics And Dentofacial Orthopedics |
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Taxonomy | 1223X0400X |
Licence No | 20876 |
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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What is the unique 10-digit identification code issued to Mikulencak Orthodontics by the Centers for Medicare & Medicaid Services?
The Mikulencak Orthodontics has been assigned the NPI (National Provider Identifier) 1912187428 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Mikulencak Orthodontics?
The Mikulencak Orthodontics is situated at 4544 Hartwood Dr, in the city of Fort Worth, state of TX, with the zip code 761091840.
What is Mikulencak Orthodontics's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mikulencak Orthodontics is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that categorizes this field of expertise is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912187428 to Mikulencak Orthodontics?
The Centers for Medicare & Medicaid Services originally issued the 1912187428 to Mikulencak Orthodontics on 2007-11-13.
When was the information pertaining to Mikulencak Orthodontics most recently updated or revised?
The details related to Mikulencak Orthodontics, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-07.
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