Dr. Mitchell W Ponsford
Periodontist
248 N Main St Ste 1
Boerne
, Texas 78006
Dr. Mitchell W Ponsford
Periodontist
248 N Main St Ste 1
Boerne
, Texas 78006
(830) 816-5102
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Mitchell W Ponsford
- 248 N Main St Ste 1
- Boerne, TX
- Zip : 78006-2036
- Phone : (830) 816-5102
Second Address
- Dr. Mitchell W Ponsford
- 248 N Main St Ste 1
- Boerne, TX
- Zip : 78006
- Phone : (830) 816-5102
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 31434 | TX |
National Provider Identifier
| NPI | 1073982252 |
|---|---|
| Provider Name | Dr. Mitchell W Ponsford |
| First Address | Boerne, TX 78006-2036 |
| Second Address | Boerne, TX 78006 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/09/2015 |
| Last Update Date | 19/07/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.