IndividualActive
Amanda Gerlach
NPI 1154928943 · Oral and Maxillofacial Surgery (Dentist) · Fort Worth, TX
Provider details
- NPI number
- 1154928943
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 36221 (TX)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
3550 Hulen St Ste C
Fort Worth, TX 76107-6885
Phone: (817) 476-3503
Approximate (ZIP-level) locationGet directions
Mailing address
6454 Living Pl Apt 404
Pittsburgh, PA 15206-3944
Registry dates
- Enumerated
- 2020-10-05
- Last updated
- 2023-08-23
- Certified
- 2023-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.