WESTERN DENTAL (NPI# 1548495443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548495443 |
| Entity Type | Organization |
| Organization Name | WESTERN DENTAL |
| Practice Address |
1501 Handley Dr Fort Worth TX 76112 |
| Mailing Address |
1501 Handley Dr Fort Worth TX 76112-3328 |
| Practice Telephone | 8174574141 |
| Practice Fax Number | 8174574142 |
| Mailing Telephone | 8174574141 |
| Mailing Fax Number | 8174574142 |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2009-05-20 |
| Authorized Official Name | DR. HOSSAIN DEZHAM (OWNER) |
| Authorized Official Telephone | 8174574141 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
19711 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922473883 | Western Dental | Dentist | 530 S Main St, Orange, CA 92868-4525 | 2015-12-03 |
| 1144620923 | Western Dental | Dentist | 1407 W March Ln, Stockton, CA 95207-6111 | 2014-08-28 |
| 1427389212 | Western Dental | Dentist | 5365 Spring Valley Rd, Ste #130, Dallas, TX 75254-3097 | 2010-01-19 |
| 1972769487 | Western Dental | Dentist | 2145 N Josey Ln, #220, Carrollton, TX 75006-2992 | 2008-08-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | WESTERN DENTAL GROUP OF ACADEMY BLVD., P.C. | 1304 N Academy Blvd Ste 205, Colorado Springs, CO 80918 |
| Colorado Business Entities | WESTERN DENTAL LABORATORY OF COLORADO SPRINGS, INC. | 1304 N Academy Blvd Ste 103, Colorado Springs, CO 80918 |
| Oregon Corporations, Companies and Business Names | WESTERN DENTAL LABS LLC | 22588 Calgary Dr, Bend, OR 97702 |
| Oregon Corporations, Companies and Business Names | WESTERN DENTAL PLAN MANAGEMENT, INC. | 601 Daily Dr Ste 223, Camarillo, CA 93010 |
| Washington State Corporations | WESTERN DENTAL PLAN MANAGEMENT, INC. | 601 E Daily Dr Ste 223, Camarillo, CA 93010-5839 |
| Oregon Corporations, Companies and Business Names | WESTERN DENTAL RESEARCH SCIENTIFIC (WDR) | 117 Tiffany Ave, Central Point, OR 97502 |
| Oregon Corporations, Companies and Business Names | WESTERN DENTAL SALES LLC | 80 Beekaman Square, Jacksonville, OR 97530 |
| Street Address |
1501 HANDLEY DR |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033133699 | Andy Chi Chang | Dentist | 1501 Handley Dr, Fort Worth, TX 76112-3328 | 2006-07-27 |
| 1972817948 | Lacedric Reitrich Tolliver | Dentist | 1501 Handley Dr, Fort Worth, TX 76112-3328 | 2010-08-02 |
| 1972711794 | Elite Dental Group, Pa | Dentist | 1501 Handley Dr, Fort Worth, TX 76112-3328 | 2007-05-18 |
| 1427072099 | Brian Ashley Alford | Dentist | 1501 Handley Dr, Fort Worth, TX 76112-3328 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396211397 | Shelia Minor | Home Health Aide | 5648 Victoria Place, Fort Worth, TX 76112 | 2018-10-17 |
| 1457833816 | Joanne Medford | Physical Therapy Assistant | 1704 Wilson Rd, Fort Worth, TX 76112 | 2018-09-02 |
| 1821525502 | Kids & Hugs Home Therapy | Home Health | 2317 Maryel Dr., Fort Worth, TX 76112 | 2017-05-12 |
| 1932516846 | Neuroassessment Services LLC | Clinical Neuropsychologist | 5601 Bridge Street, Suite 500, Ft. Worth, TX 76112 | 2014-07-14 |
| 1114346335 | Blessed Beginnings | Day Training, Developmentally Disabled Services | 2320 Blue Smoke Court North, Fort Worth, TX 76112 | 2014-04-15 |
| 1790035517 | Transitions for Success Inc | In Home Supportive Care | 6228 Warrington Pl Ace, Fort Worth, TX 76112 | 2012-09-19 |
| 1194048116 | Jerlene Bonner Tippett | Home Health Aide | 1701 Bunch Dr, Ft Worth, TX 76112 | 2010-03-04 |
| 1396076543 | Roy Kenji Yamada | Emergency Medicine | 5800 Forest Bend Pl., Ft. Worth, TX 76112 | 2010-01-27 |
| 1437488228 | Rose A Miller | Case Manager/Care Coordinator | 7312 Laurie Drive, Ft. Worth, TX 76112 | 2009-12-08 |
| 1174760508 | Advocate Angels | Case Management | 6829 Gary Lane, Fort Worth, TX 76112 | 2009-01-07 |
| Find all providers in zip 76112 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899226 | Calvin Eastwood Dds Pllc | Dentist | 3088 Basswood Blvd # 150, Fort Worth, TX 76137-1676 | 2020-10-18 |
| 1205440146 | Ismile Dental At The Chisolm Trail Pllc | Dentist | 5513 Sycamore School Rd, Fort Worth, TX 76123 | 2020-09-08 |
| 1770118911 | Dentists At Chisholm Trail, PC | Dentist | 9604 Ten Gallon Dr, Fort Worth, TX 76123-2186 | 2020-03-09 |
| 1821620121 | Eastchase Mighty Pllc | Dentist | 8430 East Fwy # 115, Fort Worth, TX 76120-4428 | 2020-02-05 |
| 1629628532 | Today Dental of Saginaw Pllc | Dentist | 1628 Basswood Blvd, Fort Worth, TX 76244 | 2019-09-13 |
| 1225685449 | Cody Brown Dds Pllc | Dentist | 2701 W Heritage Trace Pkwy, Ste 130, Fort Worth, TX 76177 | 2019-08-22 |
| 1558916361 | Nimu Pllc | Dentist | 5325 Mcpherson Blvd, Suite 120, Fort Worth, TX 76123 | 2019-08-08 |
| 1730733171 | Andrea Uglem | Dentist | 2700 Horne St Ste 120, Fort Worth, TX 76107-4604 | 2019-07-24 |
| 1790338325 | Mint Dentistry Pllc | Dentist | 3901 West Fwy Ste 113, Fort Worth, TX 76107-5654 | 2019-07-23 |
| 1124671094 | Emily Jane Creighton | Dentist | 1100 S Lake St, Fort Worth, TX 76104-4374 | 2019-07-19 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76112 |
Please comment or provide details below to improve the information on WESTERN DENTAL.
| 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.