Smile Workshop Fort Worth, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SMILE WORKSHOP FORT WORTH, PLLC

Doing business as

Ideal Dental Basswood

Practice address

7355 N Beach St
Suite 1344
Fort Worth, TX 76137-1897

Phone

(817) 935-8686

Fax

(682) 253-1885

NPI assigned

Aug 6, 2014

Last updated

Aug 15, 2023By 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

Sulman Ahmed, DMD

Title

Owner

Phone

(972) 331-8079

Specialties & licenses 1

Addresses

Other names 1

• Ideal Dental Basswood Doing business as

Locations

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1700295557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840925",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840925",
            "telephone_number": "214-757-4500",
            "fax_number": "214-757-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7355 N BEACH ST",
            "address_2": "SUITE 1344",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371897",
            "telephone_number": "817-935-8686",
            "fax_number": "682-253-1885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE WORKSHOP FORT WORTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SULMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-331-8079",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ideal Dental Basswood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Aug 15, 2023; 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.