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NPI Code Detail

MEDICARE: MEGAN FIELDS DDS

MEDICARE: MEGAN FIELDS 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
11223G0001XGeneral Practice Dentistry33199TX

General Provider Information

NPI Number : 1689191777
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN FIELDS DDS
Provider Business Mailing Address
First Line : 6041 WALKER BLVD APT 3207
Second Line :
City : N RICHLAND HILLS
State : TX
Zip : 76180-5694
Country : US
Telephone Number : 817-907-4553
Fax Number :
Provider Business Practice Location Address
First Line : 2413 E LOOP 820 N
Second Line :
City : FORT WORTH
State : TX
Zip : 76118-6933
Country : US
Telephone Number : 817-907-4553
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2017
Last Update Date : 04/07/2020

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Directions to “ MEGAN FIELDS DDS” Practice Location

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