NPI 1639004633 · live from the CMS NPI Registry
Kassiley Adriane De Faria, DDS
Dentist, Orthodontics and Dentofacial Orthopedics in Laredo, TX. National Provider Identifier 1639004633, active.
NPI record
| NPI | 1639004633 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 910 Guadalupe St Ste A, Laredo, TX 78040 |
| Practice phone | 956-884-4840 |
| Mailing address | 1632 Wildwood Rd, Marietta, GA 30062 |
| Enumerated | June 12, 2026 |
| Last updated | September 21, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 42965 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.