Excel Dental Clinic of Fort Worth, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

EXCEL DENTAL CLINIC OF FORT WORTH, PC

Practice address

913 E Berry St Ste 103
Fort Worth, TX 76110-4451

Phone

(469) 855-9941

NPI assigned

Jun 15, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Quyen Tu Huynh, DDS

Title

President

Phone

(469) 855-9941

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1306167101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 RAVENDALE DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823838",
            "telephone_number": "469-855-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 E BERRY ST STE 103",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761104451",
            "telephone_number": "469-855-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL DENTAL CLINIC OF FORT WORTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-15",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "QUYEN",
        "authorized_official_middle_name": "TU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-855-9941",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Ewing
• Samantha Ruth Ewing, PT
• Scott E Ewing, DO
• Charles E. Ewoh, M.D.
• Excel Cardiac Care PLLC
• Excel Health Home Care, LLC
• Excel Occupational Clinics
• Excel Occupational Clinics, LTD
• Excel Occupational Clinics, LTD.
• Exceptional Home Care

• Dentist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.