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FOSSIL RIDGE FAMILY DENTISTRY PLLC
NPI 1326585274
Dentist - General Practice in Fort Worth, TX

Active since January 30, 2017
3900 N TARRANT PKWY STE 100, FORT WORTH, TX 76244(817) 379-9091 Get Directions Write a Review

NPPES record last updated: January 30, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fossil Ridge Family Dentistry Pllc NPPES

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

FOSSIL RIDGE FAMILY DENTISTRY PLLC (NPI 1326585274) is a healthcare organization registered as a general practice in Fort Worth, Texas and active in the NPI registry since January 2017. The organization lists Krishna Colluru, Owner, as its authorized official.

NPPES Registry Identity

NPI1326585274
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFOSSIL RIDGE FAMILY DENTISTRY PLLC
Location Address3900 N TARRANT PKWY STE 100Fort Worth, TX 76244-5410
Mailing Address3900 N Tarrant Pkwy Ste 100Fort Worth, TX 76244-5410 · (817) 379-9091
Phone(817) 379-9091
Organization SubpartNo
Authorized OfficialKrishna ColluruOwner · (817) 379-9091
Enumeration DateJanuary 30, 2017
✔ NPI 1326585274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 24625
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.
Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X · License 31537 (TX)
3900 N TARRANT PKWY STE 100, Fort Worth, TX 76244
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Group Practice 1

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

Other Providers at the Same Location NPPES

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

FOSSIL RIDGE FAMILY DENTISTRY PLLC
Dentist
3900 N TARRANT PKWY STE 100
FORT WORTH, TX 76244
Tarrant County (201) 469-7076

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 Fossil Ridge Family Dentistry PLLC's NPI number?

The NPI number for Fossil Ridge Family Dentistry PLLC is 1326585274. It was assigned to this organization in the NPPES registry on January 30, 2017.

Where is Fossil Ridge Family Dentistry PLLC located?

Fossil Ridge Family Dentistry PLLC is located at 3900 N Tarrant Pkwy Ste 100, Fort Worth, TX 76244. The listed phone number is (817) 379-9091.

What is Fossil Ridge Family Dentistry PLLC'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 Fossil Ridge Family Dentistry PLLC was last updated on January 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.