| Susan Roberts Pediatric Dentistry Pllc | |
|
5411 Basswood Blvd Ste 201 Fort Worth TX 76137-4479 | |
| (817) 656-3999 | |
| Not Available |
| Full Name | Susan Roberts Pediatric Dentistry Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5411 Basswood Blvd Ste 201, Fort Worth, Texas |
| Authorized Official Name and Position | Jeremy Lustig (CEO) |
| Authorized Official Contact | 2143350862 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Roberts Pediatric Dentistry Pllc 3575 Lone Star Cir Ste 310 Fort Worth TX 76177-8908 Ph: (817) 350-6500 | Susan Roberts Pediatric Dentistry Pllc 5411 Basswood Blvd Ste 201 Fort Worth TX 76137-4479 Ph: (817) 656-3999 |
| NPI Number | 1306454178 |
|---|---|
| Provider Enumeration Date | 07/17/2020 |
| Last Update Date | 07/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306454178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | 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 |