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FORT WORTH DENTAL CARE PLLC
NPI 1972001048
Clinic/Center - Dental in Fort Worth, TX

Active since January 24, 2018
3646 GRANBURY RD # 104, FORT WORTH, TX 76109(817) 923-4606(817) 923-5593 Get Directions Write a Review

NPPES record last updated: January 24, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Fort Worth Dental Care Pllc NPPES

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

FORT WORTH DENTAL CARE PLLC (NPI 1972001048) is a healthcare organization registered as a dental in Fort Worth, Texas and active in the NPI registry since January 2018. The organization lists Stephen Gatlin Brogdon, Owner, as its authorized official.

NPPES Registry Identity

NPI1972001048
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameFORT WORTH DENTAL CARE PLLC
Location Address3646 GRANBURY RD # 104Fort Worth, TX 76109-3717
Mailing Address3646 Granbury Rd # 104Fort Worth, TX 76109-3717
Phone(817) 923-4606
Fax(817) 923-5593
Organization SubpartNo
Authorized OfficialStephen Gatlin BrogdonOwner · (817) 923-4606
Enumeration DateJanuary 24, 2018
✔ NPI 1972001048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in TX · 17178
3646 GRANBURY RD # 104, Fort Worth, TX 76109
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Other Identifiers 1

Other1194835215Npi

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 Fort Worth Dental Care PLLC's NPI number?

The NPI number for Fort Worth Dental Care PLLC is 1972001048. It was assigned to this organization in the NPPES registry on January 24, 2018.

Where is Fort Worth Dental Care PLLC located?

Fort Worth Dental Care PLLC is located at 3646 Granbury Rd # 104, Fort Worth, TX 76109. The listed phone number is (817) 923-4606.

What is Fort Worth Dental Care PLLC'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 Fort Worth Dental Care PLLC was last updated on January 24, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.