Individual provider · Type 1 NPI
Amanda Gerlach
Oral and Maxillofacial Surgery (Dentist) · Fort Worth, TX
NPI number
1154928943
Active
Practice location
3550 Hulen St Ste C
Fort Worth, TX 76107-6885
Mailing address
6454 Living Pl Apt 404
Pittsburgh, PA 15206-3944
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 36221 (TX) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 13342080-9921 (UT) |
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.
Another provider at this address
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About NPI 1154928943
Amanda Gerlach's National Provider Identifier is 1154928943, issued on Oct 5, 2020. 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 Aug 23, 2023.