FUNDENTIST-NORTH
NPI 1306953906
Dentist - Pediatric Dentistry in Arlington, TX

Active since August 23, 2006
801 W. ROAD TO SIX FLAGS, SUITE 101, ARLINGTON, TX 76012(817) 459-1313(817) 549-8970 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 30, 2023, Oct 27, 2022, Jan 28, 2022 and 1 more (4 updates tracked since 2020).

About Fundentist-north NPPES

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

FUNDENTIST-NORTH (NPI 1306953906), doing business as Drs Hyde Bailey Miller Ptr North, is a healthcare organization registered as a pediatric dentistry in Arlington, Texas and active in the NPI registry since August 2006. The organization lists Charles W. Miller, Owner, as its authorized official.

NPPES Registry Identity

NPI1306953906
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameFUNDENTIST-NORTH
Location Address801 W. ROAD TO SIX FLAGS, SUITE 101Arlington, TX 76012
Mailing Address4220 Little RoadArlington, TX 76016 · (817) 478-2300 · Fax (817) 478-4904
Fax(817) 549-8970
Organization SubpartNo
Authorized OfficialCharles W. MillerOwner · (817) 478-2300
Enumeration DateAugust 23, 2006
Last NPPES UpdateJanuary 30, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2023
NPI 1306953906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in TX · 9223
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X
801 W. ROAD TO SIX FLAGS, Arlington, TX 76012

Other Names 1

Former Legal Business NameDrs Hyde Bailey Miller Ptr North

Other Identifiers 1

Medicaid009668701TX

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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

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 Fundentist-North's NPI number?

The NPI number for Fundentist-North is 1306953906. It was assigned to this organization in the NPPES registry on August 23, 2006. The provider was formerly known as Drs Hyde Bailey Miller Ptr North.

Where is Fundentist-North located?

Fundentist-North is located at 801 W. Road To Six Flags Suite 101, Arlington, TX 76012. The listed phone number is (817) 459-1313.

What is Fundentist-North's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Fundentist-North was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.