MEDICARE: DR. CECIL EDWARD ALUMBAUGH JR. 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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	9175	TX

General Provider Information

NPI Number	:	1831150077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CECIL EDWARD ALUMBAUGH JR. DDS

Provider Business Mailing Address
First Line	:	2641 TEXAS DR
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75062-7016
Country	:	US
Telephone Number	:	972-258-0758
Fax Number	:	972-602-9374

Provider Business Practice Location Address
First Line	:	2641 TEXAS DR
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75062-7016
Country	:	US
Telephone Number	:	972-258-0758
Fax Number	:	972-602-9374

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

Provider Enumeration Date	:	03/29/2006
Last Update Date	:	06/25/2010

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