MEDICARE: DR. MORNA CHRISTIAN STAFFEL DDS

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	1223P0221X	Pediatric Dentistry	18277	TX

General Provider Information

NPI Number	:	1396740569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MORNA CHRISTIAN STAFFEL DDS

Provider Business Mailing Address
First Line	:	2921 LACKLAND RD
Second Line	:	STE 201
City	:	FORT WORTH
State	:	TX
Zip	:	76116-4173
Country	:	US
Telephone Number	:	817-732-2821
Fax Number	:	817-463-0419

Provider Business Practice Location Address
First Line	:	2921 LACKLAND RD
Second Line	:	STE 201
City	:	FORT WORTH
State	:	TX
Zip	:	76116-4173
Country	:	US
Telephone Number	:	817-732-2821
Fax Number	:	817-463-0419

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

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1558307074 — SOUTHWEST HOME CARE, LLC
Practice Location Address:

2921 LACKLAND RD , SUITE #202
FORT WORTH, TX
76116-4173

Practice Phone: 817-738-0008
Practice Fax: 817-738-7338

1144419821 — E M KOURI DDS MSD PLLC
Practice Location Address:

2921 LACKLAND RD , SUITE 201
FORT WORTH, TX
76116-4173

Practice Phone: 817-732-2821
Practice Fax: 817-763-0419

1447427562 — REALITY FOOT CARE LLC
Practice Location Address:

2921 LACKLAND RD , SUITE 101
FORT WORTH, TX
76116-4173

Practice Phone: 817-377-3668
Practice Fax: 817-377-2646

1205242724 — KRISTY HONG
Practice Location Address:

2921 LACKLAND RD STE 201
FORT WORTH, TX
76116-4173

Practice Phone: 817-732-2821
Practice Fax:

1902327794 — CHRISTOPHER ADAM KOTTWITZ PT, DPT
Practice Location Address:

2921 LACKLAND RD STE 101
FORT WORTH, TX
76116-4173

Practice Phone: 210-216-6367
Practice Fax:

1447822309 — KREATING SMILES DENTAL GROUP
Practice Location Address:

2921 LACKLAND RD STE 201
FORT WORTH, TX
76116-4173

Practice Phone: 817-732-2821
Practice Fax:

Directions to “ DR. MORNA CHRISTIAN STAFFEL DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.