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EDWARDS RANCH DENTAL GROUP, PLLC
NPI 1417594946
Dentist - General Practice in Fort Worth, TX

Active since December 03, 2019
5701 EDWARDS RANCH RD, FORT WORTH, TX 76109(817) 332-6211 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 28, 2026, May 9, 2023, Dec 3, 2019 (3 updates tracked since 2019).

About Edwards Ranch Dental Group, Pllc NPPES

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

EDWARDS RANCH DENTAL GROUP, PLLC (NPI 1417594946) is a healthcare organization registered as a general practice in Fort Worth, Texas and active in the NPI registry since December 2019. The organization lists Amanda Lightfoot, Authorized Representative, as its authorized official.

NPPES Registry Identity

NPI1417594946
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEDWARDS RANCH DENTAL GROUP, PLLC
Location Address5701 EDWARDS RANCH RDFort Worth, TX 76109-4116
Mailing Address15660 Dallas Pkwy Ste 950Dallas, TX 75248-3309 · (214) 702-0720
Phone(817) 332-6211
Organization SubpartNo
Authorized OfficialAmanda LightfootAuthorized Representative · (214) 702-0708
Enumeration DateDecember 3, 2019
Last NPPES UpdateJanuary 28, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
✔ NPI 1417594946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
5701 EDWARDS RANCH RD, Fort Worth, TX 76109
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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 2

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

PAIGE PONTHIER FAULDER MS CCC-SLP
Speech-Language Pathologist
5701 EDWARDS RANCH RD, SUITE B
FORT WORTH, TX 76109
Tarrant County (817) 377-1254
MS. CATHERINE LYNN HAMBLY CCC-SLP
Speech-Language Pathologist
5701 EDWARDS RANCH RD
FORT WORTH, TX 76109
Tarrant County (817) 377-1254

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 Edwards Ranch Dental Group, PLLC's NPI number?

The NPI number for Edwards Ranch Dental Group, PLLC is 1417594946. It was assigned to this organization in the NPPES registry on December 3, 2019.

Where is Edwards Ranch Dental Group, PLLC located?

Edwards Ranch Dental Group, PLLC is located at 5701 Edwards Ranch Rd, Fort Worth, TX 76109. The listed phone number is (817) 332-6211.

What is Edwards Ranch Dental Group, 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 Edwards Ranch Dental Group, PLLC was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.