Fearless Dental PC
Organization Active NPI Dentist · Red Oak, TX
NPI 1235488669 · NPPES record last updated Jun 25, 2015
Key facts
- NPI
- 1235488669
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 21256 (TX)
- Legal business name
- FEARLESS DENTAL PC
- Practice address
- 101 Austin Blvd
Suite 100
Red Oak, TX 75154 - Phone
- (972) 617-3322
- Fax
- (972) 617-3315
- NPI assigned
- Aug 30, 2012
- Organization subpart
- No
Authorized official
- Name
- Alan Martin, DDS
- Title
- Owner
- Phone
- (469) 261-9160
National Provider Directory
Locations
101 Austin Blvd
Ste 100
Red Oak, TX 75154
Phone (972) 617-3322
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 21256 | TX | Yes |
Addresses
Primary practice location
101 Austin Blvd
Suite 100
Red Oak, TX 75154
Mailing address
101 Austin Blvd
Suite 100
Red Oak, TX 75154-4666
Phone (972) 617-3322
Other providers in Red Oak, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.