Abc123 Dental in Haltom PLLC
Abc123 Dental in Haltom PLLC provides Dentist services in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2011.
- Licensed in
- TX
- In the registry since
- 2011
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5416 Basswood BlvdFort Worth, TX 76137-4400 Not confirmed with CMS for 15 years — call before visiting
Phone: (817) 656-1215
Fax: (877) 687-6861
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 24570 (TX) |
|---|
Record details
| NPI number | 1740569144 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tri Pham — Owner/Dentist · (817) 656-1215 |
| Other names | Abc123 Dental |
| NPI enumerated | August 16, 2011 |
| Last updated in NPPES | August 16, 2011 |
| Mailing address | 5416 Basswood Blvd, Fort Worth, TX 76137-4400 |
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