Active NPI
Ty Dental Haltom City PLLC
- General Practice Dentistry
- Haltom City, TX
National Provider Identifier
1023973070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- TY DENTAL HALTOM CITY PLLC
- Practice address
- 3101 Denton Hwy Ste 100
Haltom City, TX 76117-3706 - Phone
- (469) 458-7342
- NPI assigned
- Dec 22, 2025
- Last updated
- Oct 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tien Phan, DMD
- Title
- Owner
- Phone
- (408) 835-3726
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | NU | ||
| Endodontics | 1223E0200X | NU | ||
| General Practice Dentistry | 1223G0001X | NU | Primary | |
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | NU | ||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | NU |
Addresses
Primary practice location
3101 Denton Hwy Ste 100
Haltom City, TX 76117-3706
Mailing address
3050 Regent Blvd Ste 110
Irving, TX 75063-3107
Phone (956) 507-7253
National Provider Directory
National Provider DirectoryLocations
3101 Denton Hwy
Ste 100
Haltom City, TX 76117
Phone (817) 831-1567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791417600000",
"number": "1023973070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3050 REGENT BLVD STE 110",
"city": "IRVING",
"state": "TX",
"postal_code": "750633107",
"telephone_number": "956-507-7253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 DENTON HWY STE 100",
"city": "HALTOM CITY",
"state": "TX",
"postal_code": "761173706",
"telephone_number": "469-458-7342"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TY DENTAL HALTOM CITY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-22",
"last_updated": "2026-10-08",
"certification_date": "2026-10-08",
"status": "A",
"authorized_official_last_name": "PHAN",
"authorized_official_first_name": "TIEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "408-835-3726",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Haltom City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.