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BIRTH FLETCHER ORAL SURGERY KELLER NPI 1053743518


NPI Information

NPI: 1053743518
Provider Name: BIRTH FLETCHER ORAL SURGERY KELLER
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
4420 HERITAGE TRACE PKWY STE 300
FORT WORTH, TX
ZIP 76244
Phone: (817) 479-0541
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BIRTH FLETCHER ORAL SURGERY KELLER is an oral and maxillofacial surgery dentist in Fort Worth, TX. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. BIRTH FLETCHER ORAL SURGERY KELLER NPI is 1053743518. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4420 HERITAGE TRACE PKWY STE 300
FORT WORTH, TX
ZIP 76244-904
Phone: (817) 479-0541

The provider's authorized official is Cristi Fletcher .
The authorized official title is Orthodontist and has the following contact phone number (817) 479-0541.

The enumeration date for this NPI number is 8/6/2013 and was last updated on 11/4/2013.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery22279TEXASNo
21223S0112XDentistOral and Maxillofacial Surgery19486TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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