J&L DENTAL GROUP, PLLC (NPI# 1023526365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023526365 |
Entity Type | Organization |
Organization Name | J&L DENTAL GROUP, PLLC |
Other Organization Name | FREEDOM FAMILY DENTAL |
Practice Address |
2401 Heritage Trace Parkway Suite 121 Fort Worth TX 76177 |
Mailing Address |
8925 Haas Dr Fort Worth TX 76244-9126 |
Practice Telephone | 8172106062 |
Practice Fax Number | 8177682277 |
Mailing Telephone | 8016731100 |
Mailing Fax Number | 8177682277 |
Enumeration Date | 2018-01-22 |
Last Update Date | 2018-01-22 |
Authorized Official Name | DR. JOSHUA LLOYD MCPHEE (OWNER) |
Authorized Official Telephone | 8016731100 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Freedom Family Dental | Doing Business As Name - Organization |
Street Address |
2401 HERITAGE TRACE PARKWAY SUITE 121 |
City | FORT WORTH |
State | TX |
Zip Code | 76177 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225685449 | Cody Brown Dds Pllc | Dentist | 2701 W Heritage Trace Pkwy, Ste 130, Fort Worth, TX 76177 | 2019-08-22 |
1144782889 | Daniel Max & Marcandrea LLC | Optometrist | 8901 N. Freeway Service Rd E, Ste 105, Fort Worth, TX 76177 | 2019-04-02 |
1194296202 | Fresenius Medical Care Keller, LLC | Clinic/Center | 3700 N Tarrant Pkwy, Fort Worth, TX 76177 | 2018-12-16 |
1861961310 | Daniel Max & Marcandrea, LLC | Optometrist | 3524 Highway 114, Suite 300, Forth Worth, TX 76177 | 2018-11-14 |
1447732896 | Alexis Etienne Ingleton | Assisted Living Facility | 15840 Badger Creek Lm, Fort Worth, TX 76177 | 2018-09-02 |
1689115438 | Hayley Blackwood | Psychologist | 15833 Bent Rose Way, Fort Worth, TX 76177 | 2017-03-13 |
1013463256 | Elianne Griselle Alarcon | Dentist | 8917 N. Freeway, Suite 117, Fort Worth, TX 76177 | 2016-08-28 |
1962877373 | Home Town Dental Alliance | Dentist | 8901 Tehama, Suite 119, Forth Worth, TX 76177 | 2015-12-10 |
1003280686 | Susan Akberzie | Nurse Practitioner | 3400 Texas Sage Trl Ste 148, Fort Worth, TX 76177 | 2015-11-19 |
1457760027 | Qian Amy Qian | Dentist | 9701 Harmon Rd, Suite 101, Fort Worth, TX 76177 | 2014-08-08 |
Find all providers in zip 76177 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750933115 | Smiles of Fort Worth, LLC | Clinic/Center | 5601 Bridge St Ste 480, Fort Worth, TX 76112-2351 | 2019-07-15 |
1881156164 | Elizabeth Laborde Dds Pllc | Clinic/Center | 5656 Edwards Ranch Rd, Fort Worth, TX 76109 | 2019-04-04 |
1710460688 | Reliable Dentistry Pllc | Clinic/Center | 5228 Sycamore School Road, #108, Fort Worth, TX 76123-7612 | 2018-09-07 |
1972001048 | Fort Worth Dental Care Pllc | Clinic/Center | 3646 Granbury Rd # 104, Fort Worth, TX 76109-3717 | 2018-01-24 |
1871002261 | Smile Ninja, Pllc | Clinic/Center | 220 E Seminary Dr Ste 100, Fort Worth, TX 76115-2653 | 2017-09-28 |
1538689799 | Mini Joseph Dds Pllc | Clinic/Center | 2977 South Precinct Line Road, Suite 213, Fort Worth, TX 76118-7611 | 2017-06-20 |
1578010179 | Mint Dentistry, Pllc | Clinic/Center | 2700 Horne Street, Suite 120, Fort Worth, TX 76107 | 2016-09-01 |
1962859884 | Mint Dentistry, Pllc | Clinic/Center | 3829 E Loop 820 S, Fort Worth, TX 76119-4339 | 2016-05-20 |
1013382001 | Brown Family Dentistry | Clinic/Center | 4004 White Settlement Rd, Fort Worth, TX 76107-1162 | 2015-12-02 |
1952748295 | Dr. Christopher Kim, Dds, Pa | Clinic/Center | 8455 Boat Club Rd, Suite 175, Fort Worth, TX 76179-3632 | 2013-05-28 |
Find all providers in FORT WORTH |
City | FORT WORTH |
Zip Code | 76177 |
Please comment or provide details below to improve the information on J&L DENTAL GROUP, PLLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.