MEDICARE: IVORY BLISS PC

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1831777127
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IVORY BLISS PC

Provider Business Mailing Address
First Line	:	6305 PRECINCT LINE RD STE 400
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-4827
Country	:	US
Telephone Number	:	817-663-0076
Fax Number	:

Provider Business Practice Location Address
First Line	:	6305 PRECINCT LINE RD STE 400
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-4827
Country	:	US
Telephone Number	:	817-663-0076
Fax Number	:	817-663-0081

Authorized Official
Title or Position	:	DMD
Name	:	ANURADHA VADDINENI
Credential	:
Telephone Number	:	817-663-0076

Provider Enumeration Date	:	03/30/2021
Last Update Date	:	03/30/2021

Similar Medicare Providers

1407978810 — AGNIESZKA AGATA GROCHOWSKA DEVELOPMENTAL THERAP
Practice Location Address:

424 THUNDER RDG
LAKE IN THE HILLS, IL
60156-4827

Practice Phone: 773-895-1367
Practice Fax: 847-658-3080

1881865517 — AGNIESZKA GROCHOWSKA DT INC
Practice Location Address:

424 THUNDER RDG
LAKE IN THE HILLS, IL
60156-4827

Practice Phone: 773-895-1367
Practice Fax: 847-658-3080

1871947119 — ELDERLY CARE CONNECTIONS, LLP
Practice Location Address:

432 THUNDER RDG
LAKE IN THE HILLS, IL
60156-4827

Practice Phone: 224-424-3228
Practice Fax:

1366551806 — THRIFTY PAYLESS INC
Practice Location Address:

8027 NORTH CEDAR AVENUE
FRESNO, CA
93720-4827

Practice Phone: 559-431-1002
Practice Fax:

1154460905 — MARY NABHAN SMITH DPT
Practice Location Address:

516 FLOTILLA RD
NORTH PALM BEACH, FL
33408-4827

Practice Phone: 904-226-5024
Practice Fax:

1407457104 — SHAMECCA NAKIA FLORES
Practice Location Address:

4827 DONNA ST
NORTH LAS VEGAS, NV
89081-3045

Practice Phone: 702-538-1786
Practice Fax:

Directions to “IVORY BLISS PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.