| Fm Katy Dental And Orthodontics, Pllc | |
|
100 E 15th Ste 520 Fort Worth TX 76102 | |
| (817) 529-8151 | |
| (817) 529-8156 |
| Full Name | Fm Katy Dental And Orthodontics, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 100 E 15th Ste 520, Fort Worth, Texas |
| Authorized Official Name and Position | Raffy Kouyoumdjian (OWNER) |
| Authorized Official Contact | 8175298151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fm Katy Dental And Orthodontics, Pllc 20403 Fm 529 Road Cypress TX 77433 Ph: (817) 529-8151 | Fm Katy Dental And Orthodontics, Pllc 100 E 15th Ste 520 Fort Worth TX 76102 Ph: (817) 529-8151 |
| NPI Number | 1265839344 |
|---|---|
| Provider Enumeration Date | 12/04/2014 |
| Last Update Date | 12/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265839344 | NPI | - | NPPES |
| 182419513 | Medicaid | TX | |
| 182419511 | Medicaid | TX | |
| 182419514 | Medicaid | TX | |
| 182419515 | Medicaid | TX | |
| 182419510 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 23066 (Texas) | Primary |
Miles Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6263 Mccart Ave, 201, Fort Worth, TX 76133 Phone: 817-370-1314 Fax: 817-370-1344 | |
Country Day Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4255 Bryant Irvin Rd, Suite 111, Fort Worth, TX 76109 Phone: 817-731-9487 Fax: 817-731-2846 | |
Seminary Family Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 546 W Seminary Dr, Suite # C, Fort Worth, TX 76115 Phone: 817-924-0091 | |
Abc Family Dental Dental Clinic Medicare: Medicare Enrolled Practice Location: 5416 Basswood Blvd, Fort Worth, TX 76137 Phone: 817-656-1215 Fax: 877-230-8349 | |
Fred L. Spradley, D.d.s., M.s.d., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4763 Barwick Dr, Suite 107, Fort Worth, TX 76132 Phone: 817-294-5021 Fax: 817-294-9310 | |
J. Walton Lawrence, Jr., D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2512 Horne St Ste C, Fort Worth, TX 76107 Phone: 817-737-6601 Fax: 817-737-6446 | |
Michaelangelo Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2417 Park Hill Dr # 119, Fort Worth, TX 76110 Phone: 817-926-9771 |