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MR. KEVIN L HAYWOOD SR. RDA
NPI 1245513209
Dental Assistant in Fort Worth, TX

Active since September 26, 2011
3740 S UNIVERSITY DR, SUITE 201, FORT WORTH, TX 76109(817) 614-0794(817) 367-7714 Get Directions Write a Review

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

About Mr. Kevin L Haywood Sr. Rda NPPES

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

MR. KEVIN L HAYWOOD SR. RDA (NPI 1245513209) is an individual dental assistant in Fort Worth, Texas, licensed in Texas (25953) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1245513209
Entity TypeIndividualMale
Primary Taxonomy126800000X
Provider Legal NameMR. KEVIN L HAYWOOD SR.Credential: RDA
Location Address3740 S UNIVERSITY DR, SUITE 201Fort Worth, TX 76109-3700
Mailing Address8701 Regal Royale DrFort Worth, TX 76108-7948 · (817) 614-0794
Phone(817) 614-0794
Fax(817) 367-7714
Sole ProprietorYes
Enumeration DateSeptember 26, 2011
✔ NPI 1245513209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental AssistantDental Providers
Taxonomy Code126800000X
License✔ Licensed in TX · 25953
Definition

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.

3740 S UNIVERSITY DR, Fort Worth, TX 76109
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Other Providers at the Same Location NPPES

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

HAYJACK INDUSTRIES
Dentist (General Practice)
3740 S UNIVERSITY DR, SUITE 203
FORT WORTH, TX 76109
Tarrant County (817) 924-0223

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 Kevin Haywood's NPI number?

The NPI number for Kevin Haywood is 1245513209. It was assigned to this individual provider in the NPPES registry on September 26, 2011.

Where is Kevin Haywood located?

Kevin Haywood practices at 3740 S University Dr Suite 201, Fort Worth, TX 76109. The listed phone number is (817) 614-0794.

What is Kevin Haywood's specialty?

The primary specialty registered for this NPI is Dental Assistant with taxonomy code 126800000X.

When was this NPI record last updated?

The NPPES record for Kevin Haywood was last updated on September 26, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.