Organization · Type 2 NPI

Birth Fletcher Oral Surgery Keller

Oral and Maxillofacial Surgery (Dentist) · Fort Worth, TX

NPI number 1053743518 Active

Practice location

4420 Heritage Trace Pkwy Ste 300
Fort Worth, TX 76244-8904

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112X22279 (TX)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X19486 (TX)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes 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.

3 other providers at this address

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About NPI 1053743518

Birth Fletcher Oral Surgery Keller's National Provider Identifier is 1053743518, issued on Aug 6, 2013. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fort Worth, TX. The record was last updated on Nov 4, 2013.