Individual
ERIC ARDEEN BORTNEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
809 SW ALSBURY BLVD # 100, BURLESON, TX 76028-9200
(817) 426-1406
Mailing address
2716 ECHO POINT DR, FORT WORTH, TX 76123-1140
(605) 999-1619
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
38697
TX
Other
Enumeration date
04/10/2023
Last updated
04/15/2026
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