Fort Worth Dental

LBN: Fort Worth Dental
Fort Worth Dental is an health care organization with primary practice located at 4620 Citylake Blvd W , Fort Worth TX 76132-3695. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Fort Worth Dental can be contacted via phone (817) 263-0202, or through Mund, Arthur Jackson via phone (817) 263-0202.

Contact Information

Primary practice address
4620 Citylake Blvd W Fort Worth TX 76132-3695
Phone: (817) 263-0202
Fax: (817) 927-7197
Website:
Map and Directions
Authorized official contact:
Name: Mund, Arthur Jackson Doctor of Dental Surgery (DDS)
Phone: (817) 263-0202

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 13209 Texas

Profile Details

NPI number 1104939024
LBN Legal business name Fort Worth Dental
DBA Doing business as
Authorized official Mund, Arthur Jackson Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 16th, 2006
Last updated Oct 11th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104939024 NPPES
Texas Other 809903 UNITED CONCORDIA #
Texas Other 25DG UNITED CONCORDIA #
Texas Other 84D741 UNITED CONCORDIA #

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