HWY 30 DENTAL CLINIC P A
NPI 1083836217
Dentist - General Practice in Fort Worth, TX

Active since May 03, 2007
1204 WOODHAVEN BLVD, FORT WORTH, TX 76112(817) 654-9760(817) 451-8389 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Hwy 30 Dental Clinic P A NPPES

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

HWY 30 DENTAL CLINIC P A (NPI 1083836217) is a healthcare organization registered as a general practice in Fort Worth, Texas and active in the NPI registry since May 2007. The organization lists Kevin Afkami, President, as its authorized official.

NPPES Registry Identity

NPI1083836217
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameHWY 30 DENTAL CLINIC P A
Location Address1204 WOODHAVEN BLVDFort Worth, TX 76112
Mailing Address1204 Woodhaven BlvdFort Worth, TX 76112 · (817) 654-9760 · Fax (817) 451-8389
Fax(817) 451-8389
Organization SubpartNo
Authorized OfficialKevin AfkamiPresident · (817) 654-9760
Enumeration DateMay 3, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1083836217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TX · 20467
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.
1204 WOODHAVEN BLVD, Fort Worth, TX 76112

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 3

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

Clinic/Center (Dental)
1204 WOODHAVEN BLVD
FORT WORTH, TX 76112
Dentist
1204 WOODHAVEN BLVD
FORT WORTH, TX 76112
Dentist
1204 WOODHAVEN BLVD
FORT WORTH, TX 76112

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 Hwy 30 Dental Clinic P A's NPI number?

The NPI number for Hwy 30 Dental Clinic P A is 1083836217. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Hwy 30 Dental Clinic P A located?

Hwy 30 Dental Clinic P A is located at 1204 Woodhaven Blvd, Fort Worth, TX 76112. The listed phone number is (817) 654-9760.

What is Hwy 30 Dental Clinic P A'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 Hwy 30 Dental Clinic P A was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.