R. DANFORD DOSS DDS INC NPI 1861669103

NPI Information

NPI: 1861669103
Provider Name: R. DANFORD DOSS, DDS, INC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
4200 BRYANT IRVIN RD STE 129
BENBROOK, TX
ZIP 76109
Phone: (817) 731-6964
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R. DANFORD DOSS, DDS, INC is a pediatric dentistry dentist in Benbrook, TX. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. R. DANFORD DOSS, DDS, INC NPI is 1861669103. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4200 BRYANT IRVIN RD STE 129
BENBROOK, TX
ZIP 76109-212
Phone: (817) 731-6964
Fax: (817) 731-4273

The provider's authorized official is Raymond Danford Doss .
The authorized official title is President and has the following contact phone number (817) 731-6964.

The enumeration date for this NPI number is 5/15/2008 and was last updated on 5/15/2008.

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
1	1223P0221X	Dentist	Pediatric Dentistry	12108	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1842700	MEDICAID	TEXAS

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

NPI Synchronization or Removal

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