Individual provider Active NPI

Laila Ahlam Burghul, DDS

  • General Practice Dentistry
  • Fort Worth, TX
National Provider Identifier
1275211492
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42601 Issued in TX
Practice address
7355 N Beach St Ste 133
Fort Worth, TX 76137-1898
Phone
(817) 935-8686
NPI assigned
Jul 7, 2023
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 42601 TX Primary

Addresses

Primary practice location

7355 N Beach St Ste 133
Fort Worth, TX 76137-1898

Mailing address

6001 Graemont Blvd
Tyler, TX 75703-0128
Phone (903) 752-0611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1275211492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 GRAEMONT BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030128",
            "telephone_number": "903-752-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7355 N BEACH ST STE 133",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371898",
            "telephone_number": "817-935-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGHUL",
        "first_name": "LAILA",
        "middle_name": "AHLAM",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "42601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 30, 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.

Verify at the official NPI Registry.