Wish Dental PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

WISH DENTAL PLLC

Practice address

6805 NE Loop 820 Ste 400
North Richland Hills, TX 76180-6687

Phone

(817) 383-0005

NPI assigned

Jul 20, 2021

Organization subpart

No

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

Authorized official

Name

Omar Fetouh

Title

President

Phone

(716) 348-9855

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1467025320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6805 NE LOOP 820 STE 400",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6805 NE LOOP 820 STE 400",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761806687",
            "telephone_number": "817-383-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISH DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "FETOUH",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-348-9855"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Wilson, LPC
• Jerika D Winborn, OTR/L
• Anabel Winiecki, PMHNP
• Amy T. Winslow, CPNP
• Lisa F Wise, LPC
• Wish Kids Dentistry
• Cheryl Wolters, M.S., CCC-A
• Misoo Woo, PA-C
• Margaret Njoki Woods, AGACNP
• Desiree Woodside, LPC

• Pediatric Dentistry in North Richland Hills, TX
• Providers in North Richland Hills, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.