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HWY 30 DENTAL CLINIC P A NPI 1083836217


NPI Information

NPI: 1083836217
Provider Name: HWY 30 DENTAL CLINIC P A
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1204 WOODHAVEN BLVD
FORT WORTH, TX
ZIP 76112
Phone: (817) 654-9760
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HWY 30 DENTAL CLINIC P A is a general practice dentist in Fort Worth, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. HWY 30 DENTAL CLINIC P A NPI is 1083836217. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1204 WOODHAVEN BLVD
FORT WORTH, TX
ZIP 76112
Phone: (817) 654-9760
Fax: (817) 451-8389

The provider's authorized official is Kevin Afkami .
The authorized official title is President and has the following contact phone number (817) 654-9760.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 8/22/2020.


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
11223G0001XDentistGeneral Practice20467TEXASYes

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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