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FUNDENTIST-NORTH NPI 1306953906


NPI Information

NPI: 1306953906
Provider Name: FUNDENTIST-NORTH

Former Legal Business Name: DRS HYDE BAILEY MILLER PTR NORTH

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
801 W. ROAD TO SIX FLAGS
SUITE 101
ARLINGTON, TX
ZIP 76012
Phone: (817) 459-1313
Get Directions

FUNDENTIST-NORTH is a pediatric dentistry dentist in Arlington, 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. FUNDENTIST-NORTH NPI is 1306953906. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Drs Hyde Bailey Miller Ptr North.

The provider's business location address is:

801 W. ROAD TO SIX FLAGS
SUITE 101
ARLINGTON, TX
ZIP 76012
Phone: (817) 459-1313
Fax: (817) 549-8970

The provider's authorized official is Charles W. Miller .
The authorized official title is Owner and has the following contact phone number (817) 478-2300.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 1/28/2022.


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
1122300000XDentistNo
21223P0221XDentistPediatric Dentistry9223TEXASNo
31223P0221XDentistPediatric DentistryYes

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
1009668701MEDICAIDTEXAS

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

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