Organization
ULTRA ORTHODONTICS
Active
Other names
Burson Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK BRISCOE DDS, MS (OWNER/DOCTOR)
(903) 261-4711
Entity
Organization
Contact information
Practice address
3006 H G MOSLEY PKWY, LONGVIEW, TX 75605-2948
(903) 753-2151
(903) 753-0884
Mailing address
627 TURTLE CREEK DR, TYLER, TX 75701-1832
(903) 597-6372
(903) 592-8482
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9121
TX
Other
Enumeration date
09/07/2010
Last updated
09/06/2023
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