Organization · Type 2 NPI

Fortuna A. Vardeman, Dds, PC

General Practice Dentistry · New Braunfels, TX

NPI number 1407163900 Active

Practice location

651 S Walnut Ave Ste B
New Braunfels, TX 78130-5764

Fax (830) 625-9031

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	18827 (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.

Other general practice dentistry providers in New Braunfels

See all in New Braunfels →

NPI record

NPI: 1407163900
Entity type: Organization (Type 2)
Issued: Sep 3, 2010
Last updated: Sep 15, 2010
Status: Active
Subpart: Yes of Randolph Family Dental

Other names

<unavail>
Randolph Family Dental · doing business as

Authorized official

Dr. Fortuna Alapag Vardeman, DDS
President/owner
(830) 625-1400

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1407163900

Fortuna A. Vardeman, Dds, PC's National Provider Identifier is 1407163900, issued on Sep 3, 2010. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in New Braunfels, TX. The record was last updated on Sep 15, 2010.