Healthcare Provider Details

I. General information

NPI: 1508721705
Provider Name (Legal Business Name): SICHER ORTHODONTICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8600 PATRIOT DR STE 100
AMARILLO TX
79119-0123
US

IV. Provider business mailing address

101 S SHORE DR
AMARILLO TX
79118-8018
US

V. Phone/Fax

Practice location:
  • Phone: 806-674-3883
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: COLT SICHER
Title or Position: DR/OWNER
Credential:
Phone: 806-674-3883