DALLAS DENTAL ASSOCIATES - SILVER SAGE PLLC (NPI# 1609342856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609342856 |
| Entity Type | Organization |
| Organization Name | DALLAS DENTAL ASSOCIATES - SILVER SAGE PLLC |
| Practice Address |
6650 N Beach St Fort Worth TX 76137-1801 |
| Practice Telephone | 8175201702 |
| Mailing Telephone | 8175201702 |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2018-10-15 |
| Authorized Official Name | DR. STEVEN J. WINGFIELD (OWNER) |
| Authorized Official Telephone | 6789061769 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Silver Sage Family Dentistry | Doing Business As Name - Organization |
| Street Address |
6650 N BEACH ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76137-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437222056 | Kroger Texas L P | Pharmacy | 6650 N Beach St, Fort Worth, TX 76137-1801 | 2006-11-15 |
| 1528667961 | Jae Ki Lee | Pharmacist | 6650 N Beach St, Fort Worth, TX 76137-1801 | 2020-10-17 |
| 1033733936 | Kevin Guilbeau | Pharmacist | 6650 N Beach St, Fort Worth, TX 76137-1801 | 2020-06-05 |
| 1932584133 | Silver Sage Molina Pllc | Dentist | 6650 N Beach St, Fort Worth, TX 76137-1801 | 2015-07-29 |
| 1184980237 | Silver Sage Family Dentistry, Pllc | Dentist | 6650 N Beach St, Ste. 111, Fort Worth, TX 76137-1801 | 2012-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962975581 | Rose Kabera | Registered Nurse | 8021 Jolie Dr, Fort Worth, TX 76137 | 2019-01-07 |
| 1043786569 | Grace-marie Jones | Licensed Vocational Nurse | 5201 Endicott Avenue, Fort Worth, TX 76137 | 2018-10-23 |
| 1104327683 | Jeris Taylor | Registered Nurse | 4144 Heritage Way Dr, Fort Worth, TX 76137 | 2018-02-21 |
| 1396269429 | Matthew Pedroza | Dentist | 4625 Feathercrest Dr., Fort Worth, TX 76137 | 2017-07-31 |
| 1447789896 | Texas Surgical Ally | Physician Assistant | 6677 Friendsway Dr, Fort Worth, TX 76137 | 2017-06-08 |
| 1992249239 | Tracy Kirk Dds, Pllc | Dentist | 6300 N. Beach St, Ft Worth, TX 76137 | 2016-12-06 |
| 1992103295 | Keller Modern Dentistry and Orthodontics, PC | Dentist | 5701 N. Tarrant Pkwy, Suite 101, Fort Worth, TX 76137 | 2014-12-18 |
| 1619380805 | Ikids Pediatric Dentistry and Orthodontics Nfw | Dentist | 7451 N Beach St, Ste 140, Fort Worth, TX 76137 | 2014-06-05 |
| 1205246758 | Jack Milton Curlee Jr. | Counselor | 3629 Western Center Blvd., Suite 211, Fort Worth, TX 76137 | 2014-05-06 |
| 1932457363 | Milestone Dental of Keller, Pllc | Dentist | 5800 North Tarrant Parkway, Suite 102, Fort Worth, TX 76137 | 2012-08-15 |
| Find all providers in zip 76137 | ||||
| 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 |
| 1023526365 | J&l Dental Group, Pllc | Clinic/Center | 2401 Heritage Trace Parkway, Suite 121, Fort Worth, TX 76177 | 2018-01-22 |
| 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 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76137 |
Please comment or provide details below to improve the information on DALLAS DENTAL ASSOCIATES - SILVER SAGE 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.