Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Ideal Dental of Waterside PLLC

Organization Dentist · NPI 1629580394

Ideal Dental of Waterside PLLC provides Dentist services in Ft Worth, Texas. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5925 Convair Dr Ste F505
Ft Worth, TX 76109-1275
Phone: (817) 778-0418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1629580394
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sulman Ahmed — Ceo · (972) 331-8079
NPI enumeratedNovember 2, 2017
Last updated in NPPESMay 12, 2023
Certification dateMay 12, 2023
Mailing addressPo Box 840925, Dallas, TX 75284-0925

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