MINT DENTISTRY PLLC NPI 1962859884

NPI Information

NPI: 1962859884
Provider Name: MINT DENTISTRY, PLLC

Former Legal Business Name: FORT WORTH MINT DENTISTRY

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
3829 E LOOP 820 S
FORT WORTH, TX
ZIP 76119
Phone: (121) 482-1648
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MINT DENTISTRY, PLLC is a dental clinic center in Fort Worth, TX. MINT DENTISTRY, PLLC NPI is 1962859884. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Fort Worth Mint Dentistry.

The provider's business location address is:

3829 E LOOP 820 S
FORT WORTH, TX
ZIP 76119-339
Phone: (121) 482-1648

The provider's authorized official is Field Harrison .
The authorized official title is Ceo and has the following contact phone number (214) 821-6468.

The CLIA number assigned to this NPI record is 45D2157248 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/20/2016 and was last updated on 1/29/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

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

NPI Synchronization or Removal

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