| Fort Worth Endodontics | |
|
4545 Bellaire Dr S Ste 8 Fort Worth TX 76109-1811 | |
| (817) 735-1981 | |
| Not Available |
| Full Name | Fort Worth Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 4545 Bellaire Dr S Ste 8, Fort Worth, Texas |
| Authorized Official Name and Position | John Walker Loeffelholz (MEMBER) |
| Authorized Official Contact | 8177351981 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Worth Endodontics 4545 Bellaire Dr S Ste 8 Fort Worth TX 76109-1811 Ph: (817) 735-1981 | Fort Worth Endodontics 4545 Bellaire Dr S Ste 8 Fort Worth TX 76109-1811 Ph: (817) 735-1981 |
| NPI Number | 1083979462 |
|---|---|
| Provider Enumeration Date | 07/11/2012 |
| Last Update Date | 07/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083979462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 25792 (Texas) | Primary |
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