Moore & Bodine Orthodontics, PLLC
Dentist, Orthodontics and Dentofacial Orthopedics in Waxahachie, TX. Organization (NPI-2).
NPI number1164038345
StatusActive
Last updated in NPPESSep 22, 2020
Details
- NPI
- 1164038345
- Entity type
- Organization (NPI-2)
- Legal business name
- Moore & Bodine Orthodontics, PLLC
- Organization subpart
- No
- Enumeration date
- Sep 22, 2020
- Certification date
- Sep 22, 2020
- Last updated
- Sep 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | – | – | Yes |
Other names
- Moor & Bodine Orthodontics (Doing Business As)
Practice location
1320 Ferris AveWaxahachie, TX 75165-1862
Phone 972-937-0424
Mailing address
1320 Ferris AveWaxahachie, TX 75165-1862
Phone 972-937-0424
Other practice locations
225 George Hopper Rd
Midlothian, TX 76065-5521
Midlothian, TX 76065-5521
Phone 972-937-0424
Authorized official
Trevor Bodine
Member
9727416282
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