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PREECE CHURCH AND ASSOCIATES PEDIATRIC DENTISTRY NPI 1043754740


NPI Information

NPI: 1043754740
Provider Name: PREECE CHURCH AND ASSOCIATES, PEDIATRIC DENTISTRY
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
5700 EDWARDS RANCH RD
SUITE 100
FORT WORTH, TX
ZIP 76109
Phone: (817) 292-2004
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PREECE CHURCH AND ASSOCIATES, PEDIATRIC DENTISTRY is a pediatric dentistry dentist in Fort Worth, TX. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. PREECE CHURCH AND ASSOCIATES, PEDIATRIC DENTISTRY NPI is 1043754740. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5700 EDWARDS RANCH RD
SUITE 100
FORT WORTH, TX
ZIP 76109-127
Phone: (817) 292-2004

The provider's authorized official is George Stanley Preece .
The authorized official title is Manager and has the following contact phone number (817) 292-2004.

The enumeration date for this NPI number is 12/14/2016 and was last updated on 12/14/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry17828TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11407863806OTHERNPI, TYPE 1
21881949592OTHERNPI, TYPE 1
31245251362OTHERTEXASNPI, TYPE 1
42168825-01MEDICAIDTEXAS
53608952-01MEDICAIDTEXAS
60912362-03MEDICAIDTEXAS

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: 4/28/2024

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