Individual provider · Type 1 NPI
Laura Jane Funke, DMD
General Practice Dentistry · Fort Worth, TX
NPI number
1326290735
Active
Practice location
2551 River Park Plz Ste 210
Fort Worth, TX 76116-0691
Fax (817) 732-4420
Mailing address
4701 W. National Ave.
West Milwaukee, WI 53214
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 6306015 (WI) |
| General Practice Dentistry Primary | 1223G0001X | 23873 (TX) |
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.
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About NPI 1326290735
Laura Jane Funke, DMD's National Provider Identifier is 1326290735, issued on Oct 16, 2008. 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 Sep 11, 2024.