Elite Dental Group, Pa in Fort Worth - Prosthodontics
Elite Dental Group, Pa - NPI 1972711794
Elite Dental Group, Pa is a Prosthodontics in Fort Worth, Texas. Elite Dental Group, Pa practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Elite Dental Group, Pa is 1972711794. The last update date is 2007-08-17.
Elite Dental Group, Pa's current location address is 1501 Handley Dr, Fort Worth, Texas. You can contact this provider via phone number 8174514141 and fax number 8174574142. The mailing address for Elite Dental Group, Pa is 1501 Handley Dr, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Elite Dental Group, Pa |
|---|---|
| Address | 1501 Handley Dr, Fort Worth, Texas |
| Phone Number | 8174514141 |
| Fax Number | 8174574142 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | REGIONAL M |
|---|---|
| Authorized Official Name | Luong Ha Jennie |
| Telephone Number | 8174574141 |
NPI Number Detail
| NPI Number | 1972711794 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2007-08-17 |
Provider Mailing Address Detail
| Address | 1501 Handley Dr |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761123328 |
| Phone Number | 8174514141 |
| Fax Number | 8174574142 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | 18994 |
|
Definition: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial |
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What is the unique provider identifier assigned to Elite Dental Group, Pa?
The Elite Dental Group, Pa has been issued the NPI (National Provider Identifier) 1972711794 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Elite Dental Group, Pa?
The Elite Dental Group, Pa is situated at 1501 Handley Dr, in the city of Fort Worth, state of TX, with the zip code 761123328.
What is Elite Dental Group, Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Elite Dental Group, Pa's specialized field of practice is Prosthodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0700X.
On what date did the Elite Dental Group, Pa receive its 1972711794 assignment from the Centers for Medicare & Medicaid Services?
The Elite Dental Group, Pa was assigned its 1972711794 by the Centers for Medicare & Medicaid Services on 2007-05-18.
As of what date was the information regarding Elite Dental Group, Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Elite Dental Group, Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-08-17.