Provider Demographics
NPI:1811269582
Name:CHOATE AND BORTH ORTHODONTICS, PLLC
Entity type:Organization
Organization Name:CHOATE AND BORTH ORTHODONTICS, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MASON
Authorized Official - Middle Name:
Authorized Official - Last Name:BORTH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-361-4528
Mailing Address - Street 1:7859 WALNUT HILL LANE #275
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230
Mailing Address - Country:US
Mailing Address - Phone:214-361-4528
Mailing Address - Fax:214-361-4560
Practice Address - Street 1:7859 WALNUT HILL LN., #275
Practice Address - Street 2:7859 WALNUT HILL LN., #275
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230
Practice Address - Country:US
Practice Address - Phone:214-361-4528
Practice Address - Fax:214-361-4560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-27
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty