Fort Worth Emergency Dental Care PC
Dentist, General Practice in Fort Worth, TX. Organization (NPI-2).
NPI number1346851938
StatusActive
Last updated in NPPESAug 16, 2020
Details
- NPI
- 1346851938
- Entity type
- Organization (NPI-2)
- Legal business name
- Fort Worth Emergency Dental Care PC
- Organization subpart
- No
- Enumeration date
- Aug 16, 2020
- Certification date
- Aug 16, 2020
- Last updated
- Aug 16, 2020
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 |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
3613 Hulen StFort Worth, TX 76107-6813
Phone 817-731-2179
Mailing address
3613 Hulen StFort Worth, TX 76107-6813
Phone 817-731-2179
Authorized official
Brian F Leong
President
3478600087
Is something wrong?
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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