MIKULENCAK ORTHODONTICS
NPI 1912187428
Dentist - Orthodontics and Dentofacial Orthopedics in Fort Worth, TX

Active since November 13, 2007
4544 HARTWOOD DR, FORT WORTH, TX 76109(817) 923-5400 Get Directions Write a Review

NPPES record last updated: April 7, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mikulencak Orthodontics NPPES

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

MIKULENCAK ORTHODONTICS (NPI 1912187428) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Fort Worth, Texas and active in the NPI registry since November 2007. The organization lists David Matthew Mikulencak, President, as its authorized official.

NPPES Registry Identity

NPI1912187428
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameMIKULENCAK ORTHODONTICS
Location Address4544 HARTWOOD DRFort Worth, TX 76109-1840
Mailing Address3208 Tanglewood TrlFort Worth, TX 76109-2014 · (817) 584-0135
Organization SubpartNo
Authorized OfficialDavid Matthew MikulencakPresident · (817) 923-5400
Enumeration DateNovember 13, 2007
Last NPPES UpdateApril 7, 2008
NPI 1912187428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in TX · 20876
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
4544 HARTWOOD DR, Fort Worth, TX 76109

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

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

Dentist (Orthodontics and Dentofacial Orthopedics)
4544 HARTWOOD DR
FORT WORTH, TX 76109

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 Mikulencak Orthodontics's NPI number?

The NPI number for Mikulencak Orthodontics is 1912187428. It was assigned to this organization in the NPPES registry on November 13, 2007.

Where is Mikulencak Orthodontics located?

Mikulencak Orthodontics is located at 4544 Hartwood Dr, Fort Worth, TX 76109. The listed phone number is (817) 923-5400.

What is Mikulencak Orthodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Mikulencak Orthodontics was last updated on April 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.