FORT WORTH DENTAL
NPI 1104939024
Dentist in Fort Worth, TX

Active since August 16, 2006
4620 CITYLAKE BLVD W, FORT WORTH, TX 76132(817) 263-0202(817) 927-7197 Get Directions Write a Review

NPPES record last updated: October 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fort Worth Dental NPPES

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

FORT WORTH DENTAL (NPI 1104939024) is a healthcare organization registered as a dentist in Fort Worth, Texas and active in the NPI registry since August 2006. The organization lists Arthur Jackson Mund, Owner, as its authorized official.

NPPES Registry Identity

NPI1104939024
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameFORT WORTH DENTAL
Location Address4620 CITYLAKE BLVD WFort Worth, TX 76132-3695
Mailing Address4620 Citylake Blvd WFort Worth, TX 76132-3695 · (817) 263-0202 · Fax (817) 927-7197
Fax(817) 927-7197
Organization SubpartYesParent: Arthur J Mund Iii Dds Pc
Authorized OfficialArthur Jackson MundOwner · (817) 263-0202
Enumeration DateAugust 16, 2006
Last NPPES UpdateOctober 11, 2012
NPI 1104939024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in TX · 13209
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4620 CITYLAKE BLVD W, Fort Worth, TX 76132

Other Identifiers 3

Other25DGTX · Bcbs Of Tx Provider #
Other84D741TX · Bcbs Provider #
Other809903TX · United Concordia #

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist
4620 CITYLAKE BLVD W
FORT WORTH, TX 76132

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 Fort Worth Dental's NPI number?

The NPI number for Fort Worth Dental is 1104939024. It was assigned to this organization in the NPPES registry on August 16, 2006.

Where is Fort Worth Dental located?

Fort Worth Dental is located at 4620 Citylake Blvd W, Fort Worth, TX 76132. The listed phone number is (817) 263-0202.

What is Fort Worth Dental's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Fort Worth Dental accept?

Health plans from UnitedHealthcare list Fort Worth Dental as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fort Worth Dental was last updated on October 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.