Birth, Sheila T

Birth, Sheila T is an individual health care provider with primary practice located at 5407 Basswood Blvd Ste 107 , Fort Worth TX 76137-4499. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Birth, Sheila T can be contacted via phone (817) 348-0910.

Contact Information

Primary practice address
5407 Basswood Blvd Ste 107 Fort Worth TX 76137-4499
Phone: (817) 348-0910
Fax: (817) 348-0422
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 07979621 Texas

Profile Details

NPI number 1386862514
LBN Legal business name Birth, Sheila T
Credentials D.D.S. M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2007
Last updated Sep 15th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386862514 NPPES
Texas MEDICAID 091086103
Texas MEDICAID 172836201

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