Healthcare Provider Details

I. General information

NPI: 1487985172
Provider Name (Legal Business Name): ACCESS ORTHODONTICS OF SINGLETON PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2010
Last Update Date: 01/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2223 SINGLETON BLVD SUITE #212
DALLAS TX
75212-3783
US

IV. Provider business mailing address

2223 SINGLETON BLVD SUITE #212
DALLAS TX
75212-3783
US

V. Phone/Fax

Practice location:
  • Phone: 214-678-9200
  • Fax: 214-678-9208
Mailing address:
  • Phone: 214-678-9200
  • Fax: 214-678-9208

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: ANURAG RAMESH PATEL
Title or Position: OWNER
Credential: DMD
Phone: 214-678-9200