institution
Amarillo Pediatric Dentistry And Orthodontics, Pa
Pediatric Dentist in Amarillo, Texas
NPI 1073614772

Amarillo Pediatric Dentistry And Orthodontics, Pa is a Pediatric Dentist based in Amarillo, TX and is specialized in Pediatric Dentistry. Amarillo Pediatric Dentistry And Orthodontics, Pa practices in Amarillo, TX. The NPI Number for Amarillo Pediatric Dentistry And Orthodontics, Pa is 1073614772 and holds a License No. 18661 (Texas).

The current practice location address for Amarillo Pediatric Dentistry And Orthodontics, Pa is 2455 W Interstate 40, Amarillo, TX and can be reached out via phone at 806-350-5437 and via fax at 806-350-5438. You can also correspond with Amarillo Pediatric Dentistry And Orthodontics, Pa through the mailing address at 2455 W INTERSTATE 40, AMARILLO, TX - 79109-1852 (mailing address contact number: 806-350-5437).

Location: 2455 W Interstate 40, Amarillo, TX, 79109-1852
institution
Provider Profile Details
NPI Number
1073614772
Provider Name
Amarillo Pediatric Dentistry And Orthodontics, Pa
Credential
Provider Entity Type
Organization
Address
2455 W Interstate 40, Amarillo, TX, 79109-1852
Phone Number
806-350-5437
Fax Number
806-350-5438
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0042NQ 01 TX BLUE CROSS BLUE SHIELD
177133901 05 TX
institution
Provider Business Practice Location Address Details
Address
2455 W Interstate 40
City
State
Zip
79109-1852
Phone Number
806-350-5437
Fax Number
806-350-5438
person
Provider Business Mailing Address Details
Address
2455 W Interstate 40
City
State
Zip
79109-1852
Phone Number
806-350-5437
Fax Number
806-350-5438
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
18661 (Texas)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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