Forever Teeth P.L.L.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20521 Issued in TX

Legal business name

FOREVER TEETH P.L.L.C.

Practice address

112 Industrial Ave
Azle, TX 76020-2934

Phone

(817) 270-3700

Fax

(817) 270-3711

NPI assigned

Jun 20, 2007

Last updated

Sep 27, 2013By 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

Dr. Tran Bao Dang, DDSNPI 1538264247

Title

Manager

Phone

(817) 270-3700

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tran Bao Dang, DDS

  • Dentist
  • Azle, TX
  • NPI 1538264247
  NPD (past) Authorized official
• So Yeon Chung

  • General Practice Dentistry
  • Azle, TX
  • NPI 1598043549
  NPD (past)

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1477758233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 INDUSTRIAL AVE",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760202934",
            "telephone_number": "817-270-3700",
            "fax_number": "817-270-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 INDUSTRIAL AVE",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760202934",
            "telephone_number": "817-270-3700",
            "fax_number": "817-270-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER TEETH P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "TRAN",
        "authorized_official_middle_name": "BAO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-270-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Faber, PTA
• Nicole Leann Farish, FNP-BC
• Brittany Nichole Finkbeiner
• Maryanne Fisher, FNP-C
• Anna Font
• Serena Freiberg, LPC, EMDR
• Paul S. Froude, DMD
• Kristin Fuller
• Heather Fulton
• Carlos J Garcia Sagnay

• General Practice Dentistry in Azle, TX
• Providers in Azle, 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 Sep 27, 2013; 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.