BIRTH FLETCHER ORAL SURGERY KELLER
NPI 1053743518
Dentist - Oral and Maxillofacial Surgery in Fort Worth, TX

Active since August 06, 2013
4420 HERITAGE TRACE PKWY STE 300, FORT WORTH, TX 76244(817) 479-0541 Get Directions Write a Review

NPPES record last updated: November 4, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Birth Fletcher Oral Surgery Keller NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BIRTH FLETCHER ORAL SURGERY KELLER (NPI 1053743518) is a healthcare organization registered as an oral and maxillofacial surgery in Fort Worth, Texas and active in the NPI registry since August 2013. The organization lists Cristi Fletcher, Orthodontist, as its authorized official.

NPPES Registry Identity

NPI1053743518
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameBIRTH FLETCHER ORAL SURGERY KELLER
Location Address4420 HERITAGE TRACE PKWY STE 300Fort Worth, TX 76244-8904
Mailing Address4420 Heritage Trace Pkwy Ste 300Fort Worth, TX 76244-8904 · (817) 479-0541
Organization SubpartNo
Authorized OfficialCristi FletcherOrthodontist · (817) 479-0541
Enumeration DateAugust 6, 2013
Last NPPES UpdateNovember 4, 2013
NPI 1053743518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in TX · 19486 Licensed in TX · 22279
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
4420 HERITAGE TRACE PKWY STE 300, Fort Worth, TX 76244

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
4420 HERITAGE TRACE PKWY STE 300
FORT WORTH, TX 76244
Dentist (Orthodontics and Dentofacial Orthopedics)
4420 HERITAGE TRACE PKWY STE 300
FORT WORTH, TX 76244
Dentist (Orthodontics and Dentofacial Orthopedics)
4420 HERITAGE TRACE PKWY STE 300
FORT WORTH, TX 76244

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Birth Fletcher Oral Surgery Keller's NPI number?

The NPI number for Birth Fletcher Oral Surgery Keller is 1053743518. It was assigned to this organization in the NPPES registry on August 6, 2013.

Where is Birth Fletcher Oral Surgery Keller located?

Birth Fletcher Oral Surgery Keller is located at 4420 Heritage Trace Pkwy Ste 300, Fort Worth, TX 76244. The listed phone number is (817) 479-0541.

What is Birth Fletcher Oral Surgery Keller's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Birth Fletcher Oral Surgery Keller was last updated on November 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.