Individual provider · Type 1 NPI

Elesa Bockenfeld, DDS

Pediatric Dentistry · Dallas, TX

NPI number 1447508379 Active

Practice location

3904 Colgate Ave
Dallas, TX 75225-5423

Mailing address

3429 Westminster Ave, # 4
Dallas, TX 75205-5601

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X28382 (TX)
Pediatric Dentistry Primary 1223P0221X28382 (TX)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1447508379

Elesa Bockenfeld, DDS's National Provider Identifier is 1447508379, issued on Aug 27, 2012. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Dallas, TX. The record was last updated on Sep 18, 2018.