LIFECYCLE DENTAL
NPI 1376934554
Dentist - General Practice in Fort Worth, TX

Active since February 10, 2015
6618 FOSSIL BLUFF DR, SUITE 100, FORT WORTH, TX 76137(817) 439-8770 Get Directions Write a Review

NPPES record last updated: February 10, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lifecycle Dental NPPES

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

LIFECYCLE DENTAL (NPI 1376934554) is a healthcare organization registered as a general practice in Fort Worth, Texas and active in the NPI registry since February 2015. The organization lists Tammy Allen, Owner, as its authorized official.

NPPES Registry Identity

NPI1376934554
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLIFECYCLE DENTAL RESOURCE INC.
Location Address6618 FOSSIL BLUFF DR, SUITE 100Fort Worth, TX 76137-7533
Mailing Address6618 Fossil Bluff Dr, Suite 100Fort Worth, TX 76137-7533 · (817) 439-8770
Organization SubpartNo
Authorized OfficialTammy AllenOwner · (817) 439-8770
Enumeration DateFebruary 10, 2015
NPI 1376934554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TX · 19529
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.
6618 FOSSIL BLUFF DR, Fort Worth, TX 76137

Other Names 1

Doing Business AsLifecycle Dental

Group Practice 1

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

Other Providers at the Same Location NPPES 5

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

Pediatrics
6618 FOSSIL BLUFF DR, SUITE 116
FORT WORTH, TX 76137
Pediatrics
6618 FOSSIL BLUFF DR, STE 116
FORT WORTH, TX 76137
Clinic/Center (Primary Care)
6618 FOSSIL BLUFF DR, SUITE 132
FORT WORTH, TX 76137
Chiropractor
6618 FOSSIL BLUFF DR, SUITE 108
FORT WORTH, TX 76137
Nurse Practitioner (Pediatrics)
6618 FOSSIL BLUFF DR, SUITE 116
FORT WORTH, TX 76137

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 Lifecycle Dental Resource Inc.'s NPI number?

The NPI number for Lifecycle Dental Resource Inc. is 1376934554. It was assigned to this organization in the NPPES registry on February 10, 2015. The provider is doing business as Lifecycle Dental.

Where is Lifecycle Dental Resource Inc. located?

Lifecycle Dental Resource Inc. is located at 6618 Fossil Bluff Dr Suite 100, Fort Worth, TX 76137. The listed phone number is (817) 439-8770.

What is Lifecycle Dental Resource Inc.'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 Lifecycle Dental Resource Inc. was last updated on February 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.