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General NPI Number Information
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NPI Number | 1548109507
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Entity Type | Organization
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Legal Business Name | NORTH TEXAS ORTHODONTICS, PLLC
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 2109 W UNIVERSITY DR
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City | DENTON
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State | TX
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Zip | 76201-0645
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Country | US
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Telephone | 940-484-5437
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Fax | 940-484-5434
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Provider Business Mailing Address
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Address Line | 1333 W 120TH AVE STE 206
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City | WESTMINSTER
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State | CO
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Zip | 80234-2710
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Country | US
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Telephone | 720-469-3909
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | JASON ROEDER
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Credential |
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Telephone | 720-291-0626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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