LIFETIME AND COSMETIC DENTISTRY NPI 1841521879

NPI Information

NPI: 1841521879
Provider Name: LIFETIME AND COSMETIC DENTISTRY
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Organization
Address: 5040 N TARRANT PKWY
SUITE 118
FORT WORTH, TX
ZIP 76244
Phone: (817) 750-5433

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NPI Details

LIFETIME AND COSMETIC DENTISTRY 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. LIFETIME AND COSMETIC DENTISTRY NPI is 1841521879. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5040 N TARRANT PKWY
SUITE 118
FORT WORTH, TX
ZIP 76244-389
Phone: (817) 750-5433
Fax: (817) 750-5431

The provider's authorized official is Sonya Austin .
The authorized official title is Owner and has the following contact phone number (817) 750-5433.

The enumeration date for this NPI number is 1/14/2010 and was last updated on 1/14/2010.

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
1	1223G0001X	Dentist	General Practice	21561	TEXAS	No
2	1223G0001X	Dentist	General Practice	21381	TEXAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	21561	OTHER	TEXAS	1223G0001X-DENTIST-GENERAL PRACTICE
2	21381	OTHER	TEXAS	1223G0001X-DENTIST-GENERAL PRACTISE

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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