Dental Associates of Fort Worth

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL ASSOCIATES OF FORT WORTH

Practice address

3548 S Hills Ave Ste 17
Fort Worth, TX 76109-2838

Phone

(817) 924-7670

Fax

(817) 924-7646

NPI assigned

Jul 18, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Rudy Alberto Santillana, DMDNPI 1962652511

Title

Dentist/Owner

Phone

(817) 924-7670

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.

• Rudy Alberto Santillana, DMD

  • Dentist
  • Fort Worth, TX
  • NPI 1962652511
  NPD Authorized official

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1871146845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 BIRCHMONT LN",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762488210",
            "telephone_number": "817-924-7670",
            "fax_number": "817-924-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3548 S HILLS AVE STE 17",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761092838",
            "telephone_number": "817-924-7670",
            "fax_number": "817-924-7646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES OF FORT WORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-18",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "SANTILLANA",
        "authorized_official_first_name": "RUDY",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "817-924-7670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Graham Dennison, MD
• Melissa Denny
• Molly Marie Denny
• Regan Nicole Denova, PA-C
• Toni Lyn Denson, MD
• Dental Boat Club P.C
• Dental Choice 2 PLLC
• Dental Health Associates of Texas, PC
• Dental Health Associates of Texas, PC
• Dental Health Associates of Texas, PC

• 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 Dec 19, 2024; 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.