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THE PARKWAY DENTIST
NPI 1174910111
Preferred Provider Organization in Fort Worth, TX

Active since April 16, 2015
4200 BRYANT IRVIN RD. STE. 101, FORT WORTH, TX 76109(817) 735-1616(817) 735-8132 Get Directions Write a Review

NPPES record last updated: April 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Parkway Dentist NPPES

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

THE PARKWAY DENTIST (NPI 1174910111) is a healthcare organization registered as a preferred provider organization in Fort Worth, Texas and active in the NPI registry since April 2015. The organization lists Darlin Lacour, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1174910111
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NamePARKWAY DENTAL PROFESSIONALS
Location Address4200 BRYANT IRVIN RD. STE. 101Fort Worth, TX 76109
Mailing Address4200 Bryant Irvin Rd. Ste. 101Fort Worth, TX 76109 · (817) 735-1616 · Fax (817) 735-8132
Phone(817) 735-1616
Fax(817) 735-8132
Organization SubpartNo
Authorized OfficialDarlin LacourOffice Manager · (817) 735-1616
Enumeration DateApril 16, 2015
✔ NPI 1174910111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in TX · 22699
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
4200 BRYANT IRVIN RD. STE. 101, Fort Worth, TX 76109
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Other Names 1

Doing Business AsThe Parkway Dentist

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 Parkway Dental Professionals's NPI number?

The NPI number for Parkway Dental Professionals is 1174910111. It was assigned to this organization in the NPPES registry on April 16, 2015. The provider is doing business as The Parkway Dentist.

Where is Parkway Dental Professionals located?

Parkway Dental Professionals is located at 4200 Bryant Irvin Rd. Ste. 101, Fort Worth, TX 76109. The listed phone number is (817) 735-1616.

What is Parkway Dental Professionals's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Parkway Dental Professionals was last updated on April 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.