Ikids Pediatric Dentistry Fort Worth, PC
Ikids Pediatric Dentistry Fort Worth, PC provides Pediatric Dentistry in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2012.
- Licensed in
- TX
- In the registry since
- 2012
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4504 W Vickery BlvdFort Worth, TX 76107
Phone: (817) 453-2800
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
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X · Licence 24272 (TX) |
|---|
Record details
| NPI number | 1710250097 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alyssa Aguilar — Director Of Revenue & Credentialing · (817) 466-8554 |
| NPI enumerated | February 16, 2012 |
| Last updated in NPPES | March 4, 2021 |
| Certification date | March 4, 2021 |
| Mailing address | 2500 E Broad St Ste 204, Mansfield, TX 76063-4361 |
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