# ESSENTIAL ENDODONTICS PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831756576
- **Authorized official:** DR. CHRISTOPHER D J YELTON (DENTIST/ OWNER)
- **Authorized official phone:** (817) 737-7668

## Contact information

- **Practice address:** 3880 HULEN ST STE 310, FORT WORTH, TX 76107-7274
- **Practice address phone:** (817) 737-7668
- **Practice address fax:** (817) 377-8950
- **Mailing address:** 3880 HULEN ST STE 310, FORT WORTH, TX 76107-7274
- **Mailing address phone:** (817) 737-7668
- **Mailing address fax:** (817) 377-8950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 05/28/2019
- **Last updated:** 05/28/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1558591511 | ENDODONTIC | TX |