North Tarrant Family Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

TX28064 Issued in TX

Legal business name

NORTH TARRANT FAMILY DENTISTRY, PC

Practice address

841 N Tarrant Pkwy
Suite 112
Keller, TX 76248-6860

Phone

(817) 281-0100

Fax

(817) 281-0111

NPI assigned

Jan 23, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Teddy Paul Dyer Jr., DDS

Title

Dentist/Owner

Phone

(817) 281-0100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1619215795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 N TARRANT PKWY",
            "address_2": "SUITE 112",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762486860",
            "telephone_number": "817-281-0100",
            "fax_number": "817-281-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 N TARRANT PKWY",
            "address_2": "SUITE 112",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762486860",
            "telephone_number": "817-281-0100",
            "fax_number": "817-281-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TARRANT FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "TEDDY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "817-281-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "TX28064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannette Nji Nvuh Mbaimoun, MD
• Bentley Jembea Njie, MD
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• North Hills Family Practice
• North Tarrant County EMS
• North Texas ER II, LLC
• North Texas Whole Health Wellness Center
• North Texas Womens Health Care Associates P a
• NTSS North Texas Sleep Solutions LLC
• Nuhealth Pharmacy

• General Practice Dentistry in Keller, TX
• Providers in Keller, 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 23, 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.