| Straight Teeth Orthodontics | |
|
2000 Esters Rd Suite 140 Irving TX 75061-9531 | |
| (972) 871-0033 | |
| (972) 871-0088 |
| Full Name | Straight Teeth Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2000 Esters Rd, Irving, Texas |
| Authorized Official Name and Position | Gerald Scott Evans (OWNER) |
| Authorized Official Contact | 9728710033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Straight Teeth Orthodontics 2000 Esters Rd Suite 140 Irving TX 75061-9531 Ph: (972) 871-0033 | Straight Teeth Orthodontics 2000 Esters Rd Suite 140 Irving TX 75061-9531 Ph: (972) 871-0033 |
| NPI Number | 1124323944 |
|---|---|
| Provider Enumeration Date | 01/26/2011 |
| Last Update Date | 01/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124323944 | NPI | - | NPPES |
| 166592902 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 15030 (Texas) | Primary |
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