MEDICARE: TEXASENDODONTICSP.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223E0200X	Endodontics	18207	TX

General Provider Information

NPI Number	:	1568503720
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXASENDODONTICSP.C.

Provider Business Mailing Address
First Line	:	2840 KELLER SPRINGS RD
Second Line	:	703
City	:	CARROLLTON
State	:	TX
Zip	:	75006-4829
Country	:	US
Telephone Number	:	214-483-3660
Fax Number	:	214-483-3577

Provider Business Practice Location Address
First Line	:	2840 KELLER SPRINGS RD
Second Line	:	703
City	:	CARROLLTON
State	:	TX
Zip	:	75006-4829
Country	:	US
Telephone Number	:	214-483-3660
Fax Number	:	214-483-3577

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. FRANK AKER III
Credential	:	DMD
Telephone Number	:	214-483-3660

Provider Enumeration Date	:	02/09/2007
Last Update Date	:	08/22/2020

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