Organization
NATIONAL ORTHODONTIX MANAGEMENT, LLC
Active
Other names
Orthodontix, LTD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN G. VONDRAK DDS (OPERATING MANAGER)
(361) 853-1900
Entity
Organization
Contact information
Practice address
1620 S PADRE ISLAND DR, SUITE 230B, CORPUS CHRISTI, TX 78416-1353
(361) 853-1900
(361) 853-1904
Mailing address
1620 S PADRE ISLAND DR, SUITE 230B, CORPUS CHRISTI, TX 78416-1353
(361) 853-1900
(361) 853-1904
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13047
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
820296
UNITED CONCORDIA
TX
Enumeration date
05/17/2006
Last updated
08/22/2020
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