Individual provider · Type 1 NPI

Beatriz Ellen Fortanely, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Waco, TX

NPI number 1689207318 Active

Practice location

4215 Franklin Ave
Waco, TX 76710-2529

Mailing address

1506 Pease Rd Unit B
Austin, TX 78703-3413

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X33068 (TX)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XD12238 (OR)

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 1689207318

Beatriz Ellen Fortanely, DDS's National Provider Identifier is 1689207318, issued on Feb 21, 2020. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Waco, TX. The record was last updated on Aug 18, 2025.