Provider Demographics
NPI:1780818468
Name:ACCESS ORTHODONTICS OF WEBB CHAPEL
Entity Type:Organization
Organization Name:ACCESS ORTHODONTICS OF WEBB CHAPEL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIC
Authorized Official - Prefix:
Authorized Official - First Name:ANURAG
Authorized Official - Middle Name:R
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:214-357-6500
Mailing Address - Street 1:10909 WEBB CHAPEL RD
Mailing Address - Street 2:SUITE #121
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75229-3739
Mailing Address - Country:US
Mailing Address - Phone:214-357-6500
Mailing Address - Fax:214-358-7290
Practice Address - Street 1:10909 WEBB CHAPEL RD
Practice Address - Street 2:SUITE #121
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75229-3739
Practice Address - Country:US
Practice Address - Phone:214-357-6500
Practice Address - Fax:214-358-7290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-08
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
232181223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty