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NPI Code Detail

MEDICARE: DR. SHEILA T BIRTH D.D.S. M.S.

MEDICARE:  DR. SHEILA T BIRTH  D.D.S. M.S.
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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry07979621TX

Other Identifiers

General Provider Information

NPI Number : 1386862514
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHEILA T BIRTH D.D.S. M.S.
Provider Business Mailing Address
First Line : 5407 BASSWOOD BLVD STE 107
Second Line :
City : FORT WORTH
State : TX
Zip : 76137-4499
Country : US
Telephone Number : 817-348-0910
Fax Number : 817-348-0422
Provider Business Practice Location Address
First Line : 5407 BASSWOOD BLVD STE 107
Second Line :
City : FORT WORTH
State : TX
Zip : 76137-4499
Country : US
Telephone Number : 817-348-0910
Fax Number : 817-348-0422
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2007
Last Update Date : 09/15/2011

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Directions to “ DR. SHEILA T BIRTH D.D.S. M.S.” Practice Location

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