McIntosh Dental Services, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MCINTOSH DENTAL SERVICES, PC

Doing business as

Distinguished Dental

Practice address

4901 Golden Triangle Blvd Ste 111
Fort Worth, TX 76244-4483

Phone

(817) 337-8300

NPI assigned

May 12, 2022

Last updated

May 12, 2022By 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

Dr. Sheri McIntosh, DDSNPI 1679882021

Title

President

Phone

(817) 337-8300

Specialties & licenses 1

Addresses

Other names 1

• Distinguished Dental Doing business as

Locations

Practitioners 2

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.

• Sheri McIntosh, D.D.S

  • Dentist
  • Fort Worth, TX
  • NPI 1679882021
  NPD Authorized official
• Somtochukwu Iromuanya, DDS

  • Dentist
  • Forney, TX
  • NPI 1144891912
  NPD (past)

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1982341830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 GOLDEN TRIANGLE BLVD STE 111",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444483",
            "telephone_number": "817-337-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 GOLDEN TRIANGLE BLVD STE 111",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444483",
            "telephone_number": "817-337-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCINTOSH DENTAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-337-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Distinguished Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer L McGuire, PA-C
• Serra McGuire, MPAS, PA-C
• Christina Leigh McGuyer, CPNP-AC
• Dustin McHalffey, CNIM
• Ashley Rose McHattie, RN
• Austin McIntosh
• James Andrew McIntosh, DNP-A, CRNA
• Liberty McIntosh
• Sheri McIntosh, D.D.S
• William E McIntosh, DO

• Dental Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.