Organization
KYLE MEASON DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE E MEASON DDS (OWNER)
(817) 341-7825
Entity
Organization
Contact information
Practice address
2035 FORT WORTH HWY STE 600, WEATHERFORD, TX 76086-4786
(817) 341-7825
Mailing address
2035 FORT WORTH HWY STE 600, WEATHERFORD, TX 76086-4786
(817) 341-7825
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
32770
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710401021
NPI TYPE 1
TX
Enumeration date
10/30/2017
Last updated
10/30/2017
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