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FTWH DENTAL PLLC NPI 1306490156


NPI Information

NPI: 1306490156
Provider Name: FTWH DENTAL PLLC

Doing Business As: PURE THEORY DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
6600 NORTH FWY STE 109
FORT WORTH, TX
ZIP 76137
Phone: (972) 679-3630
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FTWH DENTAL PLLC 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. FTWH DENTAL PLLC NPI is 1306490156. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Pure Theory Dental.

The provider's business location address is:

6600 NORTH FWY STE 109
FORT WORTH, TX
ZIP 76137-556
Phone: (972) 679-3630

The provider's authorized official is Sukhraj Khassa .
The authorized official title is Manager and has the following contact phone number (269) 753-9600.

The enumeration date for this NPI number is 7/30/2019 and was last updated on 7/30/2019.


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 PracticeYes

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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