Organization · Type 2 NPI
Ellis Tooth Fairy PLLC
General Practice Dentistry · Fort Worth, TX
NPI number
1063251171
Active
Practice location
2725 Ellis Ave
Fort Worth, TX 76164-7106
Fax (646) 262-6648
Mailing address
12070 Brownwood Dr
Frisco, TX 75035-8860
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | None listed |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3 other providers at this address
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About NPI 1063251171
Ellis Tooth Fairy PLLC's National Provider Identifier is 1063251171, issued on May 20, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fort Worth, TX. The record was last updated on May 20, 2024.