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Todd Wentland, DDS
Student in an Organized Health Care Education/Training Program in Fort Worth, Texas
NPI 1134461106

Todd Wentland is a Student in an Organized Health Care Education/Training Program based in Fort Worth, TX. Todd Wentland practices in Fort Worth, TX and has the professional credentials of DDS. The NPI Number for Todd Wentland is 1134461106 and holds a License No. 35058 (Texas).

The current practice location address for Todd Wentland is 1500 S Main St, Fort Worth, TX and can be reached out via phone at 858-774-8117. You can also correspond with Todd Wentland through the mailing address at 1500 S MAIN ST, FORT WORTH, TX - 76104-4917 (mailing address contact number: 858-774-8117).

Location: 1500 S Main St, Fort Worth, TX, 76104-4917
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134461106
Provider Name
Todd Wentland
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1500 S Main St, Fort Worth, TX, 76104-4917
Phone Number
858-774-8117
Fax Number
Provider Enumeration Date
03/18/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
S0589 01 TX MD LICENSE
35058 01 TX DDS LICENSE
institution
Provider Business Practice Location Address Details
Address
1500 S Main St
City
Fort Worth
State
Texas
Zip
76104-4917
Phone Number
858-774-8117
Fax Number
person
Provider Business Mailing Address Details
Address
1500 S Main St
City
Fort Worth
State
Texas
Zip
76104-4917
Phone Number
858-774-8117
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
35058 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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