Individual provider · Type 1 NPI

Taylor Collazo

Orthodontics and Dentofacial Orthopedics Dentistry · Fort Worth, TX

NPI number 1164800868 Active

Practice location

100 E 15th St Ste 520
Fort Worth, TX 76102-6566

Call (817) 529-8151 Map

Fax (817) 394-1911

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X30725 (TX)
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X4020 (AR)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1164800868

Taylor Collazo's National Provider Identifier is 1164800868, issued on May 13, 2015. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Fort Worth, TX. The record was last updated on May 13, 2015.