Affordable Dentist Near Me Lakeworth PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

AFFORDABLE DENTIST NEAR ME LAKEWORTH PLLC

Doing business as

Affordable Dentist Near Me in Lakeworth PLLC

Practice address

1966 Ephriham Ave
Fort Worth, TX 76164-6670

Phone

(214) 226-7546

NPI assigned

Dec 18, 2024

Organization subpart

No

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

Authorized official

Name

Cintia Rodaway

Title

Manager

Phone

(903) 441-1558

Specialties & licenses 1

Addresses

Other names 1

• Affordable Dentist Near Me in Lakeworth PLLC Doing business as

Locations

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1982411310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1966 EPHRIHAM AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761646670",
            "telephone_number": "214-226-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1966 EPHRIHAM AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761646670",
            "telephone_number": "214-226-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTIST NEAR ME LAKEWORTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "RODAWAY",
        "authorized_official_first_name": "CINTIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "903-441-1558"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Dentist Near Me in Lakeworth PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.