Orthodontic Centers Of Texas, Inc in Tyler - Orthodontics And Dentofacial Orthopedics
Orthodontic Centers Of Texas, Inc - NPI 1790902195
Orthodontic Centers Of Texas, Inc is a Orthodontics And Dentofacial Orthopedics in Tyler, Texas. Orthodontic Centers Of Texas, Inc practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Orthodontic Centers Of Texas, Inc is 1790902195. The last update date is 2008-08-13.
Orthodontic Centers Of Texas, Inc's current location address is 212 Grande Blvd Ste B226, Tyler, Texas. You can contact this provider via phone number 9035094422 and fax number 9035094420. The mailing address for Orthodontic Centers Of Texas, Inc is 212 Grande Blvd Ste B226, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Orthodontic Centers Of Texas, Inc |
|---|---|
| Address | 212 Grande Blvd Ste B226, Tyler, Texas |
| Phone Number | 9035094422 |
| Fax Number | 9035094420 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ORTHODONTI |
|---|---|
| Authorized Official Name | Sturrup William Randolph |
| Credentials | D.D.S., M. |
| Telephone Number | 9035094422 |
NPI Number Detail
| NPI Number | 1790902195 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2008-08-13 |
Provider Mailing Address Detail
| Address | 212 Grande Blvd Ste B226 |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757034231 |
| Phone Number | 9035094422 |
| Fax Number | 9035094420 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 8352 |
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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 Orthodontic Centers Of Texas, Inc's 1790902195?
The Orthodontic Centers Of Texas, Inc's NPI (National Provider Identifier) Number is 1790902195. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Orthodontic Centers Of Texas, Inc?
The Orthodontic Centers Of Texas, Inc is situated at 212 Grande Blvd Ste B226, in the city of Tyler, state of TX, with the zip code 757034231.
What is Orthodontic Centers Of Texas, Inc's area of expertise and its corresponding taxonomy classification?
The Orthodontic Centers Of Texas, Inc's field of specialization is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790902195 to Orthodontic Centers Of Texas, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1790902195 to Orthodontic Centers Of Texas, Inc on 2007-04-19.
When was the information related to Orthodontic Centers Of Texas, Inc most recently updated or refreshed?
The details pertaining to the Orthodontic Centers Of Texas, Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-08-13.
NPI Number: 1528061710
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