Cecere, Joseph Carl

Cecere, Joseph Carl is an individual health care provider with primary practice located at 2501 Ridgmar Plz Suite 108, Fort Worth TX 76116-2689. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Cecere, Joseph Carl can be contacted via phone (817) 731-8629.

Contact Information

Primary practice address
2501 Ridgmar Plz Suite 108 Fort Worth TX 76116-2689
Phone: (817) 731-8629
Fax: (817) 732-0563
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 14609 Texas

Profile Details

NPI number 1508805516
LBN Legal business name Cecere, Joseph Carl
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Apr 25th, 2016 - about 8 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 1508805516 NPPES
Texas MEDICAID 126649605
Texas Other 75159423576086A002
Texas Other 792590
Texas Other 83M212
Texas Other 0122878002
Texas Other 4104349

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