HERITAGE TRACE DENTAL, PA
NPI 1013164284
Dentist - General Practice in Keller, TX

Q: What is Heritage Trace Dental, PA's NPI number?

The NPI number for Heritage Trace Dental, PA is 1013164284. It was assigned to this organization in the NPPES registry on August 19, 2008.

Q: What is Heritage Trace Dental, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since August 19, 2008

4160 HERITAGE TRACE PKWY, SUITE 408, KELLER, TX 76248(817) 741-4288 Get Directions Write a Review

NPPES record last updated: August 19, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Heritage Trace Dental, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HERITAGE TRACE DENTAL, PA (NPI 1013164284) is a healthcare organization registered as a general practice in Keller, Texas and active in the NPI registry since August 2008. The organization lists Brett Nielsen, Vice President, as its authorized official.

NPPES Registry Identity

NPI1013164284

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameHERITAGE TRACE DENTAL, PA

Location Address4160 HERITAGE TRACE PKWY, SUITE 408Keller, TX 76248-1312

Mailing Address4160 Heritage Trace Pkwy, Suite 408Keller, TX 76248-1313 · (817) 741-4288

Phone(817) 741-4288

Organization SubpartNo

Authorized OfficialBrett NielsenVice President · (817) 741-4288

Enumeration DateAugust 19, 2008

✔ NPI 1013164284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4160 HERITAGE TRACE PKWY, Keller, TX 76248

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heritage Trace Dental, PA's NPI number?

The NPI number for Heritage Trace Dental, PA is 1013164284. It was assigned to this organization in the NPPES registry on August 19, 2008.

Where is Heritage Trace Dental, PA located?

Heritage Trace Dental, PA is located at 4160 Heritage Trace Pkwy Suite 408, Keller, TX 76248. The listed phone number is (817) 741-4288.

What is Heritage Trace Dental, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Heritage Trace Dental, PA was last updated on August 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.