CHILD STUDY CENTER NPI 1467621045

NPI Information

CHILD STUDY CENTER is a pediatric dentistry dentist in Fort Worth, 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. CHILD STUDY CENTER NPI is 1467621045. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1300 W LANCASTER AVE
FORT WORTH, TX
ZIP 76102-410
Phone: (817) 390-2904
Fax: (817) 390-2901

The provider's authorized official is Cory R Rhoades .
The authorized official title is Chief Financial Officer and has the following contact phone number (682) 885-4480.

The enumeration date for this NPI number is 2/27/2008 and was last updated on 12/12/2022.

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:

Other Identifiers

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