TEXAS WISDOM TEETH SPECIALISTS


Address: 8409 W Cleburne Rd, Fort Worth, TX 76123-1421
Phone: 2148141057

TEXAS WISDOM TEETH SPECIALISTS (NPI# 1134720337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134720337
Entity Type Organization
Organization Name TEXAS WISDOM TEETH SPECIALISTS
Practice Address 8409 W Cleburne Rd
Fort Worth
TX 76123-1421
Mailing Address 129 Circle Club Ln
Longview
TX 75602-4866
Practice Telephone 2148141057
Mailing Telephone 9034452433
Enumeration Date 2020-11-04
Last Update Date 2020-11-09
Authorized Official Name DR. MARK A BENAGE (GENERAL DENTIST)
Authorized Official Telephone 9727864307
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
Dental Providers

Office Location

Street Address 8409 W CLEBURNE RD
City FORT WORTH
State TX
Zip Code 76123-1421

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205440146 Ismile Dental At The Chisolm Trail Pllc Dentist 5513 Sycamore School Rd, Fort Worth, TX 76123 2020-09-08
1558916361 Nimu Pllc Dentist 5325 Mcpherson Blvd, Suite 120, Fort Worth, TX 76123 2019-08-08
1306361431 Kelley Phillips Counselor 5013 Pallas Court, Fort Worth, TX 76123 2017-08-09
1396280756 Chisholm Trail Emergency Center Clinic/Center 5500 Sycamore School Rd., Ste. 150, Fort Worth, TX 76123 2016-12-21
1457801391 Point of Grace Home Health Registered Nurse 2533 Mill Spring Pass, Fort, TX 76123 2016-10-04
1992253306 Jason Bowers Specialist/Technologist, Other 5316 Quail Feather Dr, Fort Worth, TX 76123 2016-09-14
1831546944 Kalima Charway Psychologist 4532 Endercrest Lane, Fort Worth, TX 76123 2016-05-18
1033551577 Michael Rose Specialist 4924 Belladonna Dr, Fort Worth, TX 76123 2013-07-25
1265871768 Anna Uppal Dentist 100 Wolfe Nursery Street, 180, Stephenville, TX 76123 2013-06-18
1366880627 Mesa Springs, LLC Psychiatric Hospital 5560 Mesa Springs Drive, Fort Worth, TX 76123 2013-06-10
Find all providers in zip 76123

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699155507 Implants and Oral Surgery, PC Dentist 7217 Hawkins View Dr Ste 200, Fort Worth, TX 76132-3928 2015-06-05
1386058584 Keith Sonneveld Dentist 4421 Oak Park Ln Ste 101, Fort Worth, TX 76109-9541 2014-06-16
1598968190 Herman Kao Dentist 1625 Saint Louis Ave., Fort Worth, TX 76104 2007-06-09
1215130810 Fayette Creed Williams Dentist 1625 Saint Louis Avenue, House Staff & Gme, Fort Worth, TX 76104 2007-06-09
1235353301 Robert Peak Dentist 900 Jerome St, Suite 140, Fort Worth, TX 76104-3945 2007-04-12
1972614071 Spielman Peak Lois & Humes Dds Ms Inc. Dentist 7217 Hawkins View Dr, Suite 200, Fort Worth, TX 76132-3927 2006-08-31
1225070030 Gregory Blaine Scheideman Dentist 4300 Oak Park Ln, Fort Worth, TX 76109-1512 2006-06-13
1508805516 Joseph Carl Cecere Dentist 2501 Ridgmar Plz, Suite 108, Fort Worth, TX 76116-2689 2006-06-05
1538156658 Max Gregory Neill Dentist 4421 Oak Park Ln, Ste 101, Fort Worth, TX 76109-9541 2005-10-04
1356334502 David Edward Parmer Dentist 9415 N Beach St, Fort Worth, TX 76244-9059 2005-08-23
Find all providers in FORT WORTH

Competitor

Search similar providers

City FORT WORTH
Zip Code 76123

Improve Information

Please comment or provide details below to improve the information on TEXAS WISDOM TEETH SPECIALISTS.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches