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TIMBER CREEK DENTAL & ORTHODONTICS NPI 1437684354


NPI Information

NPI: 1437684354
Provider Name: TIMBER CREEK DENTAL & ORTHODONTICS

Doing Business As: TIMBER CREEK DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
12650 N BEACH ST
SUITE 100
FORT WORTH, TX
ZIP 76244
Phone: (817) 562-3292
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TIMBER CREEK DENTAL & ORTHODONTICS 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. TIMBER CREEK DENTAL & ORTHODONTICS NPI is 1437684354. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Timber Creek Dental.

The provider's business location address is:

12650 N BEACH ST
SUITE 100
FORT WORTH, TX
ZIP 76244-243
Phone: (817) 562-3292
Fax: (817) 337-9375

The provider's authorized official is Timothy Casey .
The authorized official title is Dentist/owner and has the following contact phone number (817) 562-3292.

The enumeration date for this NPI number is 4/28/2017 and was last updated on 4/28/2017.


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 Practice19907TEXASYes

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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