J&L DENTAL GROUP PLLC NPI 1023526365

NPI Information

NPI: 1023526365
Provider Name: J&L DENTAL GROUP, PLLC

Doing Business As: FREEDOM FAMILY DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2401 HERITAGE TRACE PARKWAY
SUITE 121
FORT WORTH, TX
ZIP 76177
Phone: (817) 210-6062
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J&L DENTAL GROUP, PLLC is a dental clinic center in Fort Worth, TX. J&L DENTAL GROUP, PLLC NPI is 1023526365. The provider is registered as an organization entity type.
The provider Is Doing Business As Freedom Family Dental.

The provider's business location address is:

2401 HERITAGE TRACE PARKWAY
SUITE 121
FORT WORTH, TX
ZIP 76177
Phone: (817) 210-6062
Fax: (817) 768-2277

The provider's authorized official is Joshua Lloyd Mcphee .
The authorized official title is Owner and has the following contact phone number (801) 673-1100.

The enumeration date for this NPI number is 1/22/2018 and was last updated on 1/22/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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