Organization Active NPI

J&L Dental Group, PLLC

Doing business as Freedom Family Dental

  • Dental Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1023526365
Registry record updated Jan 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
J&L DENTAL GROUP, PLLC
Doing business as
Freedom Family Dental
Practice address
2401 Heritage Trace Parkway
Suite 121
Fort Worth, TX 76177
Phone
(817) 210-6062
Fax
(817) 768-2277
NPI assigned
Jan 22, 2018
Last updated
Jan 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Joshua Lloyd McPhee, DDSNPI 1912380460
Title
Owner
Phone
(801) 673-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

2401 Heritage Trace Parkway
Suite 121
Fort Worth, TX 76177

Mailing address

8925 Haas Dr
Fort Worth, TX 76244-9126
Phone (801) 673-1100

Other names 1

  • Freedom Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2401 Heritage Trace Pkwy
Ste 121
Fort Worth, TX 76177
Phone (817) 210-6062

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516579200000",
    "number": "1023526365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8925 HAAS DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449126",
            "telephone_number": "801-673-1100",
            "fax_number": "817-768-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 HERITAGE TRACE PARKWAY",
            "address_2": "SUITE 121",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76177",
            "telephone_number": "817-210-6062",
            "fax_number": "817-768-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&L DENTAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-01-22",
        "status": "A",
        "authorized_official_last_name": "MCPHEE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-673-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.