Active NPI
Mint Dentistry PLLC
Doing business as Hulen Mint Dentistry
- General Practice Dentistry
- Fort Worth, TX
National Provider Identifier
1790338325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MINT DENTISTRY PLLC
- Doing business as
- Hulen Mint Dentistry
- Practice address
- 3901 West Fwy Ste 113
Fort Worth, TX 76107-5654 - Phone
- (214) 821-6468
- Fax
- (972) 893-8741
- NPI assigned
- Jul 23, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Field Harrison
- Title
- Owner
- Phone
- (214) 821-6468
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
3901 West Fwy Ste 113
Fort Worth, TX 76107-5654
Mailing address
3201 W Airport Fwy Ste 102
Irving, TX 75062-5928
Phone (972) 893-8741
Other names 1
- Hulen Mint Dentistry
National Provider Directory
National Provider Directory- Tax ID family
- Mint Dentistry PLLC
Other organizations with this tax ID 39
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Lake Highlands MINT Dentistry
- General Practice Dentistry
- Dallas, TX
- NPI 1114413903
-
- Dentist
- Dallas, TX
- NPI 1356570139
-
dba The Colony Mint Dentistry
- General Practice Dentistry
- The Colony, TX
- NPI 1073166583
Locations
3901 West Fwy
Ste 113
Fort Worth, TX 76107
Phone (817) 601-7474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1563840000000",
"number": "1790338325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 W AIRPORT FWY STE 102",
"city": "IRVING",
"state": "TX",
"postal_code": "750625928",
"telephone_number": "972-893-8741",
"fax_number": "972-893-8741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 WEST FWY STE 113",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761075654",
"telephone_number": "214-821-6468",
"fax_number": "972-893-8741"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINT DENTISTRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-23",
"last_updated": "2019-07-23",
"status": "A",
"authorized_official_last_name": "HARRISON",
"authorized_official_first_name": "FIELD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "214-821-6468"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hulen Mint Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.