Provider Demographics
NPI:1427222017
Name:DENTISTRY FOR CHILDREN PLLC
Entity Type:Organization
Organization Name:DENTISTRY FOR CHILDREN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ISABEL
Authorized Official - Middle Name:DE ROSAS
Authorized Official - Last Name:BRITAIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:817-332-0007
Mailing Address - Street 1:1533 MERRIMAC CIR STE 209
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76107-6526
Mailing Address - Country:US
Mailing Address - Phone:817-332-0007
Mailing Address - Fax:817-332-0008
Practice Address - Street 1:1533 MERRIMAC CIR STE 209
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-6526
Practice Address - Country:US
Practice Address - Phone:817-332-0007
Practice Address - Fax:817-332-0008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX192211223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty