FOURTH DIMENSION ORTHODONTICS & CRANIOFACIAL ORTHOPEDICS (NPI# 1184946931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184946931 |
| Entity Type | Organization |
| Organization Name | FOURTH DIMENSION ORTHODONTICS & CRANIOFACIAL ORTHOPEDICS |
| Practice Address |
7777 Forest Ln Suite C-770 Dallas TX 75230-2505 |
| Practice Telephone | 9725663100 |
| Practice Fax Number | 9725663200 |
| Mailing Telephone | 9725663100 |
| Mailing Fax Number | 9725663200 |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2010-03-11 |
| Authorized Official Name | DR. DEJI V FASHEMO (DOCTOR) |
| Authorized Official Telephone | 9725663100 |
| Authorized Official Credential | D.D.S., M.P.H. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Street Address |
7777 FOREST LN SUITE C-770 |
| City | DALLAS |
| State | TX |
| Zip Code | 75230-2505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376546101 | Frederick J Duffy Jr. | Plastic Surgery | 7777 Forest Ln, Ste C504, Dallas, TX 75230 | 2005-05-24 |
| 1710586870 | Dessy Santika Adont | Nurse Practitioner | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-10-20 |
| 1003433913 | Kasey Rehme | Speech-Language Pathologist | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-06-26 |
| 1083230015 | Abigail Anne Plec | Physician Assistant | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-06-25 |
| 1225650500 | Minh Nguyen | Pharmacist | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-05-10 |
| 1578184297 | Hk Anesthesia Services Pllc | Anesthesiology | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-05-05 |
| 1225657018 | Kristina Marie George | Nurse Practitioner | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-04-11 |
| 1376176024 | Carla Patricia Jimenez Santillan | Nurse Practitioner | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-02-20 |
| 1508496795 | Kafayat Oritola | Nurse Practitioner | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-01-16 |
| 1699315630 | Rachel Kimberly Harris | Occupational Therapist | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
| 1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
| 1538634399 | Tochukwu Chioma Uche-ukah | Nurse Practitioner | Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 | 2018-10-09 |
| 1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
| 1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
| 1326547720 | Whitney A Stewart | Psychologist | 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 | 2018-02-12 |
| 1407384373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 | 2017-05-23 |
| 1215488648 | The Walker Wellness Clinic | Community/Behavioral Health | 12200 Preston Rd., Dallas, TX 75230 | 2016-10-20 |
| 1578912325 | Renat Kudyakov | Nurse Practitioner | 7777 Forest Ln Ste B-446, Dallas, TX 75230 | 2016-06-11 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| Find all providers in zip 75230 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821658972 | Mason Dale Borth | Dentist | 7859 Walnut Hill Ln Ste 275, Dallas, TX 75230-5642 | 2019-06-19 |
| 1871156109 | Glew Pllc | Dentist | 6401 Hillcrest Ave Ste Tbd, Dallas, TX 75205-1852 | 2019-04-22 |
| 1316459365 | Pap Orthodontics Pllc | Dentist | 10909 Webb Chapel Rd Ste 121, Dallas, TX 75229-3739 | 2017-10-31 |
| 1033561014 | Bill Luu | Dentist | 8030 Spring Valley Rd, Dallas, TX 75240-3827 | 2016-07-01 |
| 1023465473 | Colby Cajero | Dentist | 9440 Garland Rd Ste 198, Dallas, TX 75218-3453 | 2016-05-16 |
| 1023482429 | Mohamed Kar-kuri | Dentist | 2525 Wycliff Ave, Suite 107, Dallas, TX 75219-2551 | 2015-11-23 |
| 1538555933 | Gayle Glenn | Dentist | 8325 Walnut Hill Ln Ste 111, Dallas, TX 75231-4212 | 2015-04-13 |
| 1255768743 | Da Lee | Dentist | 6401 Hillcrest Ave Ste 200, Dallas, TX 75205-1852 | 2013-09-30 |
| 1134562010 | Bamf Dental Pllc Dunkz Dental Pllc Mbr | Dentist | 7001 Preston Rd Ste 103, Dallas, TX 75205-1190 | 2013-04-10 |
| 1164782405 | Access Orthodontics of Hampton Pa | Dentist | 322 S Hampton Rd, Dallas, TX 75208-5617 | 2012-05-21 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.