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DR. JOSEPH CARL CECERE DMD NPI 1508805516


NPI Information

NPI: 1508805516
Provider Name: DR. JOSEPH CARL CECERE, DMD
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
2501 RIDGMAR PLZ
SUITE 108
FORT WORTH, TX
ZIP 76116
Phone: (817) 731-8629
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DR. Joseph Carl Cecere, DMD 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. DR. Joseph Carl Cecere, DMD NPI is 1508805516. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2501 RIDGMAR PLZ
SUITE 108
FORT WORTH, TX
ZIP 76116-689
Phone: (817) 731-8629
Fax: (817) 732-0563

The enumeration date for this NPI number is 6/5/2006 and was last updated on 4/25/2016.


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 Surgery14609TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10122878002OTHERCIGNA
275159423576086A002OTHERTRICARE
3792590OTHERUNITED CONCORDIA DENTAL
44104349OTHERTEXASAETNA
5T12590MEDICARE UPIN
683M212MEDICARE ID-TYPE UNSPECIFIEDTEXAS
783M212OTHERTEXASBCBS
8126649605MEDICAIDTEXAS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.