Hwy 30 Dental Clinic P A in Fort Worth - General Practice

Hwy 30 Dental Clinic P A - NPI 1083836217

Hwy 30 Dental Clinic P A is a General Practice in Fort Worth, Texas. Hwy 30 Dental Clinic P A practices all healthcare services and medical treatments related to General Practice. The NPI Number for Hwy 30 Dental Clinic P A is 1083836217. The last update date is 2020-08-22.

Hwy 30 Dental Clinic P A's current location address is 1204 Woodhaven Blvd, Fort Worth, Texas. You can contact this provider via phone number 8176549760 and fax number 8174518389. The mailing address for Hwy 30 Dental Clinic P A is 1204 Woodhaven Blvd, Fort Worth, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Hwy 30 Dental Clinic P A
Address 1204 Woodhaven Blvd, Fort Worth, Texas
Phone Number 8176549760
Fax Number 8174518389
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Afkami Kevin
Credentials DDS
Telephone Number 8176549760

NPI Number Detail

NPI Number 1083836217
Provider Enumeration Date 2007-05-03
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1204 Woodhaven Blvd
City Fort Worth
State Texas (TX)
Post Code 76112
Phone Number 8176549760
Fax Number 8174518389

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 20467
Definition:
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.

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FAQs about Hwy 30 Dental Clinic P A

What is the unique identifier code issued to Hwy 30 Dental Clinic P A by the Centers for Medicare & Medicaid Services (CMS)?

The Hwy 30 Dental Clinic P A has been assigned the NPI (National Provider Identifier) 1083836217. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Hwy 30 Dental Clinic P A is located?

The Hwy 30 Dental Clinic P A is situated at the following address: 1204 Woodhaven Blvd, Fort Worth, TX, 76112.

What is Hwy 30 Dental Clinic P A's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Hwy 30 Dental Clinic P A is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1083836217 to Hwy 30 Dental Clinic P A?

The Hwy 30 Dental Clinic P A received its 1083836217 assignment from the Centers for Medicare & Medicaid Services on 2007-05-03.

As of what date was the information pertaining to Hwy 30 Dental Clinic P A, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Hwy 30 Dental Clinic P A, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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