Organization Active NPI

Dfwfamily Dental Centers PLLC

  • Dentist
  • Fort Worth, TX
National Provider Identifier
1730370545
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DFWFAMILY DENTAL CENTERS PLLC
Practice address
4800 S Hulen St Ste 102
Fort Worth, TX 76132-1400
Phone
(817) 877-4867
Fax
(214) 599-8897
NPI assigned
Aug 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Dr. Mary Pu
Title
General Manager
Phone
(817) 675-8753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4800 S Hulen St Ste 102
Fort Worth, TX 76132-1400

Mailing address

3605 Mockingbird LN
Dallas, TX 75205-2122
Phone (817) 675-8753

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1730370545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 MOCKINGBIRD LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752052122",
            "telephone_number": "817-675-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 S HULEN ST STE 102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321400",
            "telephone_number": "817-877-4867",
            "fax_number": "214-599-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DFWFAMILY DENTAL CENTERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "PU",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "817-675-8753",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.