DR. JOSEPH CARL CECERE (NPI# 1508805516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508805516 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH CARL CECERE |
| Credential | DMD |
| Practice Address |
2501 Ridgmar Plz Suite 108 Fort Worth TX 76116-2689 |
| Practice Telephone | 8177318629 |
| Practice Fax Number | 8177320563 |
| Mailing Telephone | 8177318629 |
| Mailing Fax Number | 8177320563 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2016-04-25 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
14609 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED CONCORDIA DENTAL | 792590 | 01 | |
| TX | BCBS | 83M212 | 01 |
| CIGNA | 0122878002 | 01 | |
| TX | 126649605 | 05 | |
| TX | AETNA | 4104349 | 01 |
| TRICARE | 75159423576086A002 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265542823 | Joseph L Cecere | Dentist | 620 Shrewsbury Ave, Tinton Falls, NJ 07701-4915 | 2006-08-30 |
| 1528015088 | Joseph Cecere | Anesthesiology | 365 Montauk Ave, Anesthesia Department, New London, CT 06320-4700 | 2006-05-30 |
| Street Address |
2501 RIDGMAR PLZ SUITE 108 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76116-2689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407259260 | Elizabeth Zebian | Dentist | 2501 Ridgmar Plz, Suite 106, Fort Worth, TX 76116-2689 | 2014-10-07 |
| 1295173086 | Terry L Drennan | Dentist | 2501 Ridgmar Plz, #102, Fort Worth, TX 76116-2689 | 2013-06-13 |
| 1881879070 | Joseph Cecere D.m.d.,inc. | Dentist | 2501 Ridgmar Plz, Suite 108, Fort Worth, TX 76116-2689 | 2008-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908980 | William Michael Marshall | Pharmacist | 8600 Camp Bowie Blvd, Forth Worth, TX 76116 | 2020-10-02 |
| 1558843599 | Donnisha Bunting | In Home Supportive Care | 2901 Broadmoor, 1115, Fort Worth, TX 76116 | 2018-09-06 |
| 1588156756 | Bilal Master | Student in an Organized Health Care Education/Training Program | 3309 Riveroad Court, 2515, Ft Worth, TX 76116 | 2018-06-04 |
| 1245769728 | Randall R Williams | Physical Therapist | 6913 Camp Bowie Blvd Suite 141, Fort Worth, TX 76116 | 2017-06-08 |
| 1023543048 | 5th Avenue Grooming Lounge | Prosthetic/Orthotic Supplier | 1201 N Watson Rd., Suite 283, Arlington, TX 76116 | 2017-04-27 |
| 1831647734 | Frisco Neuro Collaborations, Pllc | Physician Assistant | 6387 Camp Bowie Blvd Ste B-640, Fort Worth, TX 76116 | 2016-09-20 |
| 1104288372 | Brown Mobile Dental Pa | Dentist | 8008 Camp Bowie W Blvd, Ste 101, Fort Worth, TX 76116 | 2016-03-25 |
| 1639553431 | Bartholomew A Akubukwe | Pharmacist | 6700 Westfree Way, Fortworth, TX 76116 | 2015-07-13 |
| 1952718868 | Brown Mobile Dental | Dentist | 8008 Camp Bowie Suite 101, Fort Worth, TX 76116 | 2014-07-14 |
| 1275949018 | Emily Sue Danner | Dentist | 6726 Camp Bowie Blvd., Fort Worth, TX 76116 | 2014-07-01 |
| Find all providers in zip 76116 | ||||
| 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 |
| 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 | ||||
| City | FORT WORTH |
| Zip Code | 76116 |
Please comment or provide details below to improve the information on DR. JOSEPH CARL CECERE.
| 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.