CRYSTAL DENTAL OF FORT WORTH, P.C.
NPI 1376840306
Preferred Provider Organization in Fort Worth, TX
About Crystal Dental Of Fort Worth, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTAL DENTAL OF FORT WORTH, P.C. (NPI 1376840306) is a healthcare organization registered as a preferred provider organization in Fort Worth, Texas and active in the NPI registry since February 2011. The organization lists Brian T Le, Owner/dentist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Crystal Dental Of Fort Worth, P.C.'s NPI number?
The NPI number for Crystal Dental Of Fort Worth, P.C. is 1376840306. It was assigned to this organization in the NPPES registry on February 28, 2011.
Where is Crystal Dental Of Fort Worth, P.C. located?
Crystal Dental Of Fort Worth, P.C. is located at 1114 E Seminary Dr, Fort Worth, TX 76115. The listed phone number is (817) 473-6200.
What is Crystal Dental Of Fort Worth, P.C.'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 Crystal Dental Of Fort Worth, P.C. was last updated on February 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Crystal Dental Of Fort Worth, P.c. · NPI 1376840306
Preferred Provider Organization organization in Fort Worth, Texas. Organization record, active in the CMS NPPES registry since February 28, 2011.
## Identity
- **NPI:** 1376840306 (Entity type: Organization)
- **Enumerated:** February 28, 2011
- **Primary specialty:** Preferred Provider Organization · taxonomy 305R00000X
- **Organization subpart:** No
- **Authorized official:** Brian Le, OWNER/DENTIST
## Practice location
- **Address:** 1114 E SEMINARY DR, Fort Worth, TX 76115-2830
- **Phone:** (817) 473-6200
## Record status
- **NPPES last updated:** February 28, 2011
- **Other identifiers:** Medicaid 204803503 (TX); Medicaid 175019201 (TX); Medicaid 158687708 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1376840306) · Data from the CMS NPPES public registry.