NPI 1619297736 · live from the CMS NPI Registry
Access Orthodontics Of Rosedale, P.A.
Dentist, Orthodontics and Dentofacial Orthopedics in Fort Worth, TX. National Provider Identifier 1619297736, active.
NPI record
| NPI | 1619297736 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 3620 E. Rosedale Street, Fort Worth, TX 76105 |
| Practice phone | 817-531-7000 |
| Enumerated | June 11, 2010 |
| Last updated | June 11, 2010 |
| Authorized official | Anurag Patel, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 23218 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.