| Dentistry For Children Of Fort Worth Pllc | |
|
5521 Bellaire Dr S Ste 210 Fort Worth TX 76109-5900 | |
| (817) 569-6633 | |
| Not Available |
| Full Name | Dentistry For Children Of Fort Worth Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5521 Bellaire Dr S Ste 210, Fort Worth, Texas |
| Authorized Official Name and Position | Jo Ann Rice (CREDENTIALING MANAGER) |
| Authorized Official Contact | 4708818679 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry For Children Of Fort Worth Pllc 2970 Brandywine Rd Ste 200 Atlanta GA 30341-5549 Ph: (770) 692-1000 | Dentistry For Children Of Fort Worth Pllc 5521 Bellaire Dr S Ste 210 Fort Worth TX 76109-5900 Ph: (817) 569-6633 |
| NPI Number | 1720705387 |
|---|---|
| Provider Enumeration Date | 10/25/2022 |
| Last Update Date | 10/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720705387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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