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FRED H POTTER DDS NPI 1265809644


NPI Information

NPI: 1265809644
Provider Name: FRED H POTTER, DDS

Doing Business As: BOWIE DRIVE DENTAL CARE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
601 S BOWIE DR
WEATHERFORD, TX
ZIP 76086
Phone: (817) 594-8761
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FRED H POTTER, DDS is a general practice dentist in Weatherford, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. FRED H POTTER, DDS NPI is 1265809644. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bowie Drive Dental Care.

The provider's business location address is:

601 S BOWIE DR
WEATHERFORD, TX
ZIP 76086-138
Phone: (817) 594-8761
Fax: (817) 594-0028

The provider's authorized official is Beth Potter .
The authorized official title is Owner and has the following contact phone number (817) 613-7775.

The enumeration date for this NPI number is 9/1/2015 and was last updated on 9/1/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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