ELESA BOCKENFELD D.D.S. NPI 1447508379

NPI Information

Elesa Bockenfeld, D.D.S. is a pediatric dentistry dentist in Dallas, TX. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. Elesa Bockenfeld, D.D.S. NPI is 1447508379. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3904 COLGATE AVE
DALLAS, TX
ZIP 75225-423
Phone: (214) 702-1451

The NPI 1447508379 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/27/2012 and was last updated on 9/18/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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