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

Mimi Family Dental

Organization Dentist · NPI 1396988150

Mimi Family Dental provides Dentist services in Fort Worth, Texas. Registered with an NPI since 2009.

In the registry since
2009
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Practice location Address checks out

1200 Overlook Ter Ste C
Fort Worth, TX 76112-2382 Not confirmed with CMS for 17 years — call before visiting
Phone: (817) 451-8855
Fax: (817) 457-8860
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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 number1396988150
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lee Lang — Office Manager · (817) 451-8855
NPI enumeratedApril 9, 2009
Last updated in NPPESApril 9, 2009
Mailing address1200 Overlook Ter, Suite C, Fort Worth, TX 76112-2382

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