Access Dental of Rosedale P.a.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ACCESS DENTAL OF ROSEDALE P.A.

Practice address

3620 E. Rosedale Street
Fort Worth, TX 76105

Phone

(682) 365-9115

NPI assigned

Mar 15, 2010

Organization subpart

No

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

Authorized official

Name

Carolyn Mai Trieu, DMD

Title

Owner

Phone

(682) 365-9115

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1811211261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 E. ROSEDALE STREET",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 E. ROSEDALE STREET",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76105",
            "telephone_number": "682-365-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS DENTAL OF ROSEDALE P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "TRIEU",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "MAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-365-9115",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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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 Mar 15, 2010; 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.