TY DENTAL MEADOWBROOK PLLC
NPI 1346105392
Dentist - General Practice in Fort Worth, TX

Active since December 22, 2025
6302 MEADOWBROOK DR, FORT WORTH, TX 76112(956) 507-7253 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ty Dental Meadowbrook Pllc NPPES

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

TY DENTAL MEADOWBROOK PLLC (NPI 1346105392) is a healthcare organization registered as a general practice in Fort Worth, Texas and active in the NPI registry since December 2025. The organization lists Tien Phan, Owner, as its authorized official.

NPPES Registry Identity

NPI1346105392
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTY DENTAL MEADOWBROOK PLLC
Location Address6302 MEADOWBROOK DRFort Worth, TX 76112-5162
Mailing Address8150 Springwood Dr Ste 150bIrving, TX 75063-5810 · (956) 507-7253
Organization SubpartNo
Authorized OfficialTien PhanOwner · (408) 835-3726
Enumeration DateDecember 22, 2025
Last NPPES UpdateDecember 23, 2025
NPPES CertifiedDecember 23, 2025
NPI 1346105392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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 ListedDentistTaxonomy 122300000X
Also ListedDentist · EndodonticsTaxonomy 1223E0200X
Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
6302 MEADOWBROOK DR, Fort Worth, TX 76112

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 6

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

Family Medicine
6302 MEADOWBROOK DR, SUITE 112
FORT WORTH, TX 76112
Dentist (General Practice)
6302 MEADOWBROOK DR
FORT WORTH, TX 76112
Dentist (Orthodontics and Dentofacial Orthopedics)
6302 MEADOWBROOK DR
FORT WORTH, TX 76112
Dentist (Orthodontics and Dentofacial Orthopedics)
6302 MEADOWBROOK DR, SUITE #112
FORT WORTH, TX 76112
Dentist (Prosthodontics)
6302 MEADOWBROOK DR, SUITE#112
FORT WORTH, TX 76112
Dentist (General Practice)
6302 MEADOWBROOK DR, SUITE #112
FORT WORTH, TX 76112

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 Ty Dental Meadowbrook PLLC's NPI number?

The NPI number for Ty Dental Meadowbrook PLLC is 1346105392. It was assigned to this organization in the NPPES registry on December 22, 2025.

Where is Ty Dental Meadowbrook PLLC located?

Ty Dental Meadowbrook PLLC is located at 6302 Meadowbrook Dr, Fort Worth, TX 76112. The listed phone number is (956) 507-7253.

What is Ty Dental Meadowbrook 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 Ty Dental Meadowbrook PLLC was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.