| Affordable Dentist Near Me Pllc | |
|
6426 Meadowbrook Dr Fort Worth TX 76112-5123 | |
| (817) 496-2343 | |
| (817) 665-3822 |
| Full Name | Affordable Dentist Near Me Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6426 Meadowbrook Dr, Fort Worth, Texas |
| Authorized Official Name and Position | Tri H Pham (DOCTOR) |
| Authorized Official Contact | 8174962343 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affordable Dentist Near Me Pllc 6426 Meadowbrook Dr Fort Worth TX 76112-5123 Ph: (817) 496-2342 | Affordable Dentist Near Me Pllc 6426 Meadowbrook Dr Fort Worth TX 76112-5123 Ph: (817) 496-2343 |
| NPI Number | 1770952814 |
|---|---|
| Provider Enumeration Date | 09/18/2015 |
| Last Update Date | 04/01/2024 |
| Medicare PECOS PAC ID | 0345503199 |
|---|---|
| Medicare Enrollment ID | O20180410001166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770952814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 24570 (Texas) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Tri Huu Pham |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1558597963 PECOS PAC ID: 7012271778 Enrollment ID: I20180514001679 |
| Provider Name | Phuong Kim Do |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1417171281 PECOS PAC ID: 7911285861 Enrollment ID: I20240401000180 |
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