MEDICARE: DR. HITESH KAPADIA DDS, PHD

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	20786	TX

General Provider Information

NPI Number	:	1366646341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HITESH KAPADIA DDS, PHD

Provider Business Mailing Address
First Line	:	3302 GASTON AVE
Second Line	:	ROOM 433
City	:	DALLAS
State	:	TX
Zip	:	75246-2013
Country	:	US
Telephone Number	:	214-828-8277
Fax Number	:

Provider Business Practice Location Address
First Line	:	5410 ALPHA RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75240-4506
Country	:	US
Telephone Number	:	972-387-9770
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2007
Last Update Date	:	07/08/2007

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