| Texas Wisdom Teeth Specialists | |
|
8409 W Cleburne Rd Fort Worth TX 76123-1421 | |
| (214) 814-1057 | |
| Not Available |
| Full Name | Texas Wisdom Teeth Specialists |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 8409 W Cleburne Rd, Fort Worth, Texas |
| Authorized Official Name and Position | Mark A Benage (GENERAL DENTIST) |
| Authorized Official Contact | 9727864307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Wisdom Teeth Specialists 129 Circle Club Ln Longview TX 75602-4866 Ph: (903) 445-2433 | Texas Wisdom Teeth Specialists 8409 W Cleburne Rd Fort Worth TX 76123-1421 Ph: (214) 814-1057 |
| NPI Number | 1134720337 |
|---|---|
| Provider Enumeration Date | 11/04/2020 |
| Last Update Date | 11/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134720337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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