# ALTERRA DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Orchard Dental and Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962890525
- **Authorized official:** DR. MICHAEL CASTLE DMD (MANAGER)
- **Authorized official phone:** (559) 797-5053

## Contact information

- **Practice address:** 2771 E BROAD ST STE 221, MANSFIELD, TX 76063-9157
- **Practice address phone:** (817) 473-2277
- **Mailing address:** 2771 E BROAD ST STE 221, MANSFIELD, TX 76063-9157
- **Mailing address phone:** (817) 473-2277

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 28081 | TX | — |
| 1223G0001X | General Practice Dentistry | 28021 | TX | Yes |

## Other

- **Enumeration date:** 01/06/2015
- **Last updated:** 06/20/2023