| Fort Worth Dental Care Pllc | |
|
3646 Granbury Rd # 104 Fort Worth TX 76109-3717 | |
| (817) 923-4606 | |
| (817) 923-5593 |
| Full Name | Fort Worth Dental Care Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3646 Granbury Rd # 104, Fort Worth, Texas |
| Authorized Official Name and Position | Stephen Gatlin Brogdon (OWNER) |
| Authorized Official Contact | 8179234606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Worth Dental Care Pllc 3646 Granbury Rd # 104 Fort Worth TX 76109-3717 Ph: () - | Fort Worth Dental Care Pllc 3646 Granbury Rd # 104 Fort Worth TX 76109-3717 Ph: (817) 923-4606 |
| NPI Number | 1972001048 |
|---|---|
| Provider Enumeration Date | 01/24/2018 |
| Last Update Date | 01/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972001048 | NPI | - | NPPES |
| 1194835215 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 17178 (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 |