BIRTH STEWART ORAL SURGERY FT WORTH (NPI# 1417389032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417389032 |
Entity Type | Organization |
Organization Name | BIRTH STEWART ORAL SURGERY FT WORTH |
Practice Address |
3060 Sycamore School Rd Fort Worth TX 76133-7771 |
Mailing Address |
Po Box 330874 Fort Worth TX 76163-0874 |
Practice Telephone | 8173700268 |
Practice Fax Number | 8172639217 |
Mailing Telephone | 8173700268 |
Mailing Fax Number | 8172639217 |
Enumeration Date | 2013-08-06 |
Last Update Date | 2013-11-08 |
Authorized Official Name | DR. CHARLES STEWART (ORTHODONTIST) |
Authorized Official Telephone | 8173700268 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
11736 | TX | Dental Providers |
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
19486 | TX | Dental Providers |
Street Address |
3060 SYCAMORE SCHOOL RD |
City | FORT WORTH |
State | TX |
Zip Code | 76133-7771 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073673224 | Drs. Birth & Stewart-orthodontics-ft Worth, LLC | Dentist | 3060 Sycamore School Rd, Fort Worth, TX 76133-7771 | 2006-12-11 |
1508084674 | Charles Daniel Stewart | Dentist | 3060 Sycamore School Rd, Fort Worth, TX 76133-7771 | 2007-04-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740830645 | Dieseru Healthcare Services LLC. | Technician | 2325 Woodmont Trail, Forth Worth, TX 76133 | 2019-09-13 |
1447636212 | Westcreek Animal Clinic P.C. | Veterinarian | 3313 Park Lake Dr., Fort Worth, TX 76133 | 2015-08-04 |
1750784286 | Tlc Dentistry of Fort Worth, LLC | Dentist | 7664 Mccart Ave., Fort Worth, TX 76133 | 2014-09-29 |
1184047581 | Jene Hunt | Pharmacist | 6225 Westcreek Dr, Fort Worth, TX 76133 | 2014-01-22 |
1841538972 | Chelsea Rene Sanders | Speech-Language Pathologist | 6036 Worrell Dr, Fort Worth, TX 76133 | 2013-01-24 |
1588926026 | Roger Allan Beck | Internal Medicine | 4509 Fox Fire Way, Fort Worth, TX 76133 | 2012-06-11 |
1477812857 | Little Star Rehab | Point of Service | 4525 Altamesa Blvd, Fort Worth, TX 76133 | 2012-05-07 |
1477824605 | Lauren Elizabeth Hall | Speech-Language Pathologist | 5316 Trail Lake Drive, Fort Worth, TX 76133 | 2012-01-19 |
1770772519 | Sherriann Michelle Erby | Occupational Therapist | 7100 Trail Lake Drive, Fort Worth, TX 76133 | 2007-10-17 |
1811193170 | Carol Diane Edley | Speech-Language Pathologist | 4400 Sweetgum Way, Ft Worth, TX 76133 | 2007-06-25 |
Find all providers in zip 76133 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134720337 | Texas Wisdom Teeth Specialists | Dentist | 8409 W Cleburne Rd, Fort Worth, TX 76123-1421 | 2020-11-04 |
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 |
Find all providers in FORT WORTH |
City | FORT WORTH |
Zip Code | 76133 |
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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.