TLC Dentistry of Fort Worth, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23128 Issued in TX

Legal business name

TLC DENTISTRY OF FORT WORTH, LLC

Practice address

7664 McCart Ave.
Fort Worth, TX 76133

Phone

(972) 668-0142

Fax

(972) 668-0143

NPI assigned

Sep 29, 2014

Organization subpart

No

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

Authorized official

Name

Nhi Lam

Title

Owner

Phone

(972) 668-0142

Specialties & licenses 1

Addresses

Other names 1

• TLC Dentistry of Fort Worth, LLC Former legal business name

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1750784286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7664 MCCART AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761337803",
            "telephone_number": "972-668-0142",
            "fax_number": "972-668-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7664 MCCART AVE.",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76133",
            "telephone_number": "972-668-0142",
            "fax_number": "972-668-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC DENTISTRY OF FORT WORTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "NHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-668-0142"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC Dentistry of Fort Worth, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Titanium Plus PLLC
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• Lee R Titus, L.P.C.
• Ceres Tiu, M.D.
• TLC
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• Lucas Gabriel Tobar, MD
• Mercedes Genelle Tobey

• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, 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 29, 2014; 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.