DENTISTS AT CHISHOLM TRAIL PC NPI 1770118911

NPI Information

  • NPI: 1770118911
  • Provider Name: DENTISTS AT CHISHOLM TRAIL, PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: DENTISTS AT CHISHOLM TRAIL
  • CLIA Number: 45D2321138
  • Address: 9604 TEN GALLON DR
    FORT WORTH, TX
    ZIP 76123
  • Phone: (817) 803-4362

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NPI Details

DENTISTS AT CHISHOLM TRAIL, PC 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. DENTISTS AT CHISHOLM TRAIL, PC NPI is 1770118911. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dentists At Chisholm Trail.

The provider's business location address is:

9604 TEN GALLON DR
FORT WORTH, TX
ZIP 76123-186
Phone: (817) 803-4362
Fax: (817) 803-4090

The provider's authorized official is Joyanna Hoffman .
The authorized official title is Owner and has the following contact phone number (817) 803-4362.

The CLIA number assigned to this NPI record is 45D2321138 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/9/2020 and was last updated on 6/14/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 11/21/2025

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