Edwards Ranch Dental Group, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EDWARDS RANCH DENTAL GROUP, PLLC

Practice address

5701 Edwards Ranch Rd
Fort Worth, TX 76109-4116

Phone

(817) 332-6211

NPI assigned

Dec 3, 2019

Last updated

Jan 28, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda Lightfoot

Title

Authorized Representative

Phone

(214) 702-0708

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1417594946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15660 DALLAS PKWY STE 950",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752483309",
            "telephone_number": "214-702-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 EDWARDS RANCH RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094116",
            "telephone_number": "817-332-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS RANCH DENTAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-03",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "LIGHTFOOT",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "214-702-0708"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Educare Therapy, LLC
• Edward E Icaza MD PA (Benbrook Neurology)
• Edward L. Kramer, D.O., P.a.
• Edward N. Reiter, D.D.S., Inc.
• Edwards DFW (Edwards Medical Group DFW)
• Abena Dansoa Edwards, FNP-C
• Carl Edwards
• Christopher Wayne Edwards, DDS
• Cortney Edwards, LPC
• Cynthia Edwards

• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.