Denton Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTON DENTAL PLLC

Practice address

2700 W University Dr Ste 1060
Denton, TX 76201-1607

Phone

(716) 348-9855

NPI assigned

Jul 19, 2021

Last updated

Jul 19, 2021By 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

Omar FetouhNPI 1992950042

Title

President

Phone

(716) 348-9855

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Omar Fetouh, D.D.S

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Saginaw, TX
  • NPI 1992950042
  Authorized official Same address or phone

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1740853803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W UNIVERSITY DR STE 1060",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762011607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W UNIVERSITY DR STE 1060",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762011607",
            "telephone_number": "716-348-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTON DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "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": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denton County MHMR Center
• Denton County Oral and Maxillofacial Surgery
• Denton Dental Center
• Denton Dental Group, PLLC
• Denton Dental Partners, PLLC (Comfort Dental Denton)
• Denton Digestive Institute PLLC
• Denton Edc Management LLC (Emergency Dental Care USA)
• Denton Erdocs PA
• Denton Eye Consultants PLLC
• Denton Eyedoctors

• General Practice Dentistry in Denton, TX
• Providers in Denton, 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 Jul 19, 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.