TIMBER CREEK ORTHODONTICS, P.A.
NPI 1063798718
Dentist - Orthodontics and Dentofacial Orthopedics in Fort Worth, TX

Active since October 26, 2011
12650 N BEACH ST, SUITE 100, FORT WORTH, TX 76244(817) 562-3292 Get Directions Write a Review

NPPES record last updated: October 26, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Timber Creek Orthodontics, P.a. NPPES

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

TIMBER CREEK ORTHODONTICS, P.A. (NPI 1063798718) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Fort Worth, Texas and active in the NPI registry since October 2011. The organization lists Daniel C Mallory, Orthodontist, as its authorized official.

NPPES Registry Identity

NPI1063798718
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameTIMBER CREEK ORTHODONTICS, P.A.
Location Address12650 N BEACH ST, SUITE 100Fort Worth, TX 76244-4243
Mailing Address12650 N Beach St, Suite 100Fort Worth, TX 76244-4243 · (817) 562-3292
Organization SubpartNo
Authorized OfficialDaniel C MalloryOrthodontist · (817) 562-3292
Enumeration DateOctober 26, 2011
NPI 1063798718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in TX · 20625
Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

12650 N BEACH ST, Fort Worth, TX 76244

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

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
12650 N BEACH ST
FORT WORTH, TX 76244
Behavior Technician
12650 N BEACH ST
FORT WORTH, TX 76244
Behavior Technician
12650 N BEACH ST
FORT WORTH, TX 76244
Behavior Technician
12650 N BEACH ST
FORT WORTH, TX 76244
Dentist (General Practice)
12650 N BEACH ST, SUITE 100
FORT WORTH, TX 76244
Behavior Analyst
12650 N BEACH ST
FORT WORTH, TX 76244
Behavior Technician
12650 N BEACH ST
FORT WORTH, TX 76244
Behavior Technician
12650 N BEACH ST
FORT WORTH, TX 76244

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 Timber Creek Orthodontics, P.A.'s NPI number?

The NPI number for Timber Creek Orthodontics, P.A. is 1063798718. It was assigned to this organization in the NPPES registry on October 26, 2011.

Where is Timber Creek Orthodontics, P.A. located?

Timber Creek Orthodontics, P.A. is located at 12650 N Beach St Suite 100, Fort Worth, TX 76244. The listed phone number is (817) 562-3292.

What is Timber Creek Orthodontics, P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Timber Creek Orthodontics, P.A. was last updated on October 26, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.