Basswood Family Dental PA
Dentist in Ft Worth, TX. Organization (NPI-2).
NPI number1346396371
StatusActive
Last updated in NPPESJan 2, 2014
Details
- NPI
- 1346396371
- Entity type
- Organization (NPI-2)
- Legal business name
- Basswood Family Dental PA
- Organization subpart
- No
- Enumeration date
- Jan 25, 2007
- Last updated
- Jan 2, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 19297 | TX | Yes |
Practice location
5428 Basswood BlvdFt Worth, TX 76137
Phone 817-788-7700 · Fax 817-281-0055
Mailing address
5428 Basswood BlvdFt Worth, TX 76137
Phone 817-788-7700 · Fax 817-281-0055
Authorized official
Harveen Dhillon Hans
Dentist
8177887700
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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