NPI 1114234556

Ultra Orthodontics

Organisation Orthodontics and Dentofacial Orthopedics Dentistry Longview, TX

Practice location

Address: 3006 H G Mosley Pkwy, Longview, TX 75605-2948
Phone: (903) 753-2151
Fax: (903) 753-0884
Mailing address: 627 Turtle Creek Dr, Tyler, TX 75701-1832

Authorised official

Name: Patrick Briscoe
Title: Owner/Doctor
Phone: (903) 261-4711

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X Licence 9121 (TX)

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Registry record

NPI: 1114234556
Entity type: Organization
NPI issued: 7 Sep 2010
Record last updated: 6 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.