Individual provider · Type 1 NPI
R. Theodore Fields Jr., DDS, PhD
Oral and Maxillofacial Surgery (Dentist) · Dallas, TX
Practice location
8226 Douglas Ave Ste 810
Dallas, TX 75225-5930
Mailing address
8226 Douglas Ave, Suite 810
Dallas, TX 75225-5943
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | 16961 (TX) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 16961 (TX) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1750506598
R. Theodore Fields Jr., DDS, PhD's National Provider Identifier is 1750506598, issued on Apr 16, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Dallas, TX. The record was last updated on Jan 4, 2021.