FALL CREEK DENTAL PA
NPI 1649544966
Dentist in Granbury, TX

Q: What is Fall Creek Dental PA's NPI number?

The NPI number for Fall Creek Dental PA is 1649544966. It was assigned to this organization in the NPPES registry on March 5, 2012.

Q: What is Fall Creek Dental PA's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since March 05, 2012

5600 N GATE RD, SUITE 103, GRANBURY, TX 76049(817) 326-5717(817) 326-5714 Get Directions Write a Review

NPPES record last updated: March 5, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Fall Creek Dental Pa NPPES

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

FALL CREEK DENTAL PA (NPI 1649544966) is a healthcare organization registered as a dentist in Granbury, Texas and active in the NPI registry since March 2012. The organization lists Katrina Ladawn Mcfadden, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1649544966

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameFALL CREEK DENTAL PA

Location Address5600 N GATE RD, SUITE 103Granbury, TX 76049-3120

Mailing Address5600 N Gate Rd, Suite 103Granbury, TX 76049-3120 · (817) 326-5717 · Fax (817) 326-5714

Phone(817) 326-5717

Fax(817) 326-5714

Organization SubpartNo

Authorized OfficialKatrina Ladawn McfaddenOwner/dentist · (817) 326-5717

Enumeration DateMarch 5, 2012

✔ NPI 1649544966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in TX · 19566

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

5600 N GATE RD, Granbury, TX 76049

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Other Identifiers 2

OtherB19566TX · Delta Dental Chips

Medicaid009483101TX

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

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 Fall Creek Dental PA's NPI number?

The NPI number for Fall Creek Dental PA is 1649544966. It was assigned to this organization in the NPPES registry on March 5, 2012.

Where is Fall Creek Dental PA located?

Fall Creek Dental PA is located at 5600 N Gate Rd Suite 103, Granbury, TX 76049. The listed phone number is (817) 326-5717.

What is Fall Creek Dental PA's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Fall Creek Dental PA was last updated on March 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.