CHILDREN'S DENTAL SERVICES OF TEXAS, PLLC (NPI# 1699090100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699090100 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S DENTAL SERVICES OF TEXAS, PLLC |
| Practice Address |
3750 S University Dr Fort Worth TX 76109-3795 |
| Mailing Address |
Po Box 55367 Hurst TX 76054-5367 |
| Practice Telephone | 8172070750 |
| Practice Fax Number | 8172070719 |
| Mailing Telephone | 2145338183 |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2011-01-24 |
| Authorized Official Name | JASON ZIMMERMAN (DENTIST) |
| Authorized Official Telephone | 2145338183 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
20465 | TX | Dental Providers |
| Street Address |
3750 S UNIVERSITY DR |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76109-3795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801852256 | Adunni M. Morohunfola | Pediatrics | 3750 S University Dr, Suite 200, Fort Worth, TX 76109-3795 | 2006-04-25 |
| 1851699763 | Sharon Kay Bernardez | Physician Assistant | 3750 S University Dr, Suite 202, Fort Worth, TX 76109-3795 | 2011-03-02 |
| 1952541088 | Randy John Davis | Specialist | 3750 S University Dr, Suite 202, Fort Worth, TX 76109-3795 | 2009-03-02 |
| 1184809592 | Parkside Oasis Inc | Pharmacy | 3750 S University Dr, Suite 100, Fort Worth, TX 76109-3720 | 2008-01-03 |
| 1750404877 | Ali H Alavi | Internal Medicine | 3750 S University Dr, Suite 202, Fort Worth, TX 76109-3795 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881156164 | Elizabeth Laborde Dds Pllc | Clinic/Center | 5656 Edwards Ranch Rd, Fort Worth, TX 76109 | 2019-04-04 |
| 1992273965 | Debra Cooper Lantz | Occupational Therapist | 4252 Bryant Irvin Road, Fort Worth, TX 76109 | 2018-11-08 |
| 1417434119 | Dermatology Specialists of Fort Worth Pllc | Dermatology | 6100 Southwest Blvd., Suite 100, Fort Worth, TX 76109 | 2018-07-25 |
| 1417446709 | Eating Recovery Center of Texas, LLC | Clinic/Center | 4200 S. Hulen Street, Suite #436, Ft. Worth, TX 76109 | 2018-05-02 |
| 1245751742 | Marissa Izabel San Miguel | Optometrist | 5912 Convair Dr Ste 208, Fort Worth, TX 76109 | 2017-07-05 |
| 1174910111 | Parkway Dental Professionals | Preferred Provider Organization | 4200 Bryant Irvin Rd. Ste. 101, Fort Worth, TX 76109 | 2015-04-16 |
| 1831583095 | Deborah K Lehmann, M.d. | Clinic/Center | 6420 Southwest Blvd., #128, Fort Worth, TX 76109 | 2015-03-26 |
| 1184036428 | Ft Worth Ranch Assist, LLC | Neurological Surgery | 3516 Ranch View Terrace, Fort Worth, TX 76109 | 2014-05-21 |
| 1821435538 | Metx LLC | Hearing Instrument Specialist | 4618 Sw Loop 820, Fort Worth, TX 76109 | 2013-06-04 |
| 1356608087 | Virginia Flores | Social Worker | 4208 Ranier Ct, Fort Worth, TX 76109 | 2012-04-19 |
| Find all providers in zip 76109 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306454178 | Susan Roberts Pediatric Dentistry Pllc | Dentist | 5411 Basswood Blvd Ste 201, Fort Worth, TX 76137-4479 | 2020-07-17 |
| 1538656988 | Dc Dental Associates of Fort Worth Pllc | Dentist | 1114 North Beach Street, Fort Worth, TX 76111 | 2018-04-20 |
| 1043754740 | Preece Church and Associates, Pediatric Dentistry | Dentist | 5700 Edwards Ranch Rd, Suite 100, Fort Worth, TX 76109-4127 | 2016-12-14 |
| 1619380805 | Ikids Pediatric Dentistry and Orthodontics Nfw | Dentist | 7451 N Beach St, Ste 140, Fort Worth, TX 76137 | 2014-06-05 |
| 1841601291 | Cook Childrens Physician Network | Dentist | 2600 E Berry Street, Fort Worth, TX 76105-4750 | 2014-05-19 |
| 1710250097 | Ikids Pediatric Dentistry Fort Worth, P.C. | Dentist | 4504 W Vickery Blvd, Fort Worth, TX 76107 | 2012-02-16 |
| 1194022327 | Thien Tam Tran | Dentist | 225 Ne 28th St Ste 225, Fort Worth, TX 76164-7205 | 2011-02-24 |
| 1609001981 | Sheela Jayappa Patel | Dentist | 2600 East Berry Street, Fort Worth, TX 76105-4750 | 2009-05-15 |
| 1245405208 | Barnett Dental Group | Dentist | 6222 Hulen Bend Blvd, Fort Worth, TX 76132-2803 | 2008-04-29 |
| 1154463974 | Vajahat Yar Khan | Dentist | 225 Ne 28th St, Fort Worth, TX 76164-7205 | 2007-02-12 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76109 |
Please comment or provide details below to improve the information on CHILDREN'S DENTAL SERVICES OF TEXAS, 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.