COWTOWN DENTAL
NPI 1760117808
Clinic/Center - Dental in Fort Worth, TX

Q: What is Cowtown Dental's NPI number?

The NPI number for Cowtown Dental is 1760117808. It was assigned to this organization in the NPPES registry on July 21, 2022.

Q: What is Cowtown Dental's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Q: When was this NPI record last updated?

The NPPES record for Cowtown Dental was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 21, 2022

4930 CAMP BOWIE BLVD, FORT WORTH, TX 76107(817) 735-4555 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Cowtown Dental NPPES

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

COWTOWN DENTAL (NPI 1760117808) is a healthcare organization registered as a dental in Fort Worth, Texas and active in the NPI registry since July 2022. The organization lists Payton Keller, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1760117808

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameCOWTOWN DENTAL

Location Address4930 CAMP BOWIE BLVDFort Worth, TX 76107-4153

Mailing Address4930 Camp Bowie BlvdFort Worth, TX 76107-4153

Phone(817) 735-4555

Organization SubpartNo

Authorized OfficialPayton KellerManaging Member · (402) 216-9318

Enumeration DateJuly 21, 2022

NPPES CertifiedJuly 21, 2022

✔ NPI 1760117808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

4930 CAMP BOWIE BLVD, Fort Worth, TX 76107

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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.

WILLIAM L COOK III D.D.S

Dentist (General Practice)

4930 CAMP BOWIE BLVD
FORT WORTH, TX 76107

Tarrant County (817) 735-4555

PHILIP M CORDELL D.D.S.

Dentist (General Practice)

4930 CAMP BOWIE BLVD
FORT WORTH, TX 76107

Tarrant County (817) 731-8766

PAYTON KELLER DDS

Dentist (General Practice)

4930 CAMP BOWIE BLVD
FORT WORTH, TX 76107

Tarrant County (402) 216-9318

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 Cowtown Dental's NPI number?

The NPI number for Cowtown Dental is 1760117808. It was assigned to this organization in the NPPES registry on July 21, 2022.

Where is Cowtown Dental located?

Cowtown Dental is located at 4930 Camp Bowie Blvd, Fort Worth, TX 76107. The listed phone number is (817) 735-4555.

What is Cowtown Dental's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Cowtown Dental was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.