Organization · Type 2 NPI
NTDS Grapevine
Periodontics · Grapevine, TX
NPI number
1669162574
Active
Practice location
1600 W Northwest Hwy Ste 200
Grapevine, TX 76051-8135
Fax (817) 251-9777
Mailing address
5980 Charlestown Dr
Dallas, TX 75230-1706
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | None listed |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
2 other providers at this address
Other periodontics providers in Grapevine
About NPI 1669162574
NTDS Grapevine's National Provider Identifier is 1669162574, issued on May 12, 2023. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Grapevine, TX. The record was last updated on May 12, 2023.