Individual
DR. MACEY BROOKE CARTRITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MD
Contact information
Practice address
1752 BROAD PARK CIR N STE 100, MANSFIELD, TX 76063-7824
(817) 225-3223
Mailing address
2120 OLIVE ST APT 809, DALLAS, TX 75201-2456
(806) 683-6674
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
36413
TX
1223X2210X
Orofacial Pain Dentistry
36413
TX
208600000X
Surgery Physician
T6532
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2016
Last updated
06/05/2023
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