Fort Worth Childrens Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

FORT WORTH CHILDRENS DENTISTRY

Practice address

4200 Bryant Irvin Rd Ste 129
Benbrook, TX 76109-4212

Phone

(817) 569-6633

Fax

(817) 569-6636

NPI assigned

Jun 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jack W Morrow, D.D.S., M.S.D.

Title

Dentist

Phone

(817) 569-6633

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1295046415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 BRYANT IRVIN RD STE 129",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761094212",
            "telephone_number": "817-569-6633",
            "fax_number": "817-569-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 BRYANT IRVIN RD STE 129",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761094212",
            "telephone_number": "817-569-6633",
            "fax_number": "817-569-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WORTH CHILDRENS DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "MORROW",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "817-569-6633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Fisher
• Leshyla Fisher
• Mark Allen Flesher, PA-C
• Tahis Flores
• Sara Jane Folsom
• Jason Fowler, DDS
• Rosia Frater, M.ED.
• Tristen Blake Friedson
• Frank Fuentes Fernandez
• Fulford Family Home Health

• All providers in Benbrook, TX
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.