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ELITE DENTAL GROUP, PA
NPI 1972711794
Dentist - Prosthodontics in Fort Worth, TX

Active since May 18, 2007
1501 HANDLEY DR, FORT WORTH, TX 76112(817) 451-4141(817) 457-4142 Get Directions Write a Review

NPPES record last updated: August 17, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elite Dental Group, Pa NPPES

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

ELITE DENTAL GROUP, PA (NPI 1972711794) is a healthcare organization registered as a prosthodontics in Fort Worth, Texas and active in the NPI registry since May 2007. The organization lists Jennie Ha Luong, Regional Manager, as its authorized official.

NPPES Registry Identity

NPI1972711794
Entity TypeOrganization
Primary Taxonomy1223P0700X
Legal Business NameELITE DENTAL GROUP, PA
Location Address1501 HANDLEY DRFort Worth, TX 76112-3328
Mailing Address1501 Handley DrFort Worth, TX 76112-3328 · (817) 451-4141 · Fax (817) 457-4142
Phone(817) 451-4141
Fax(817) 457-4142
Organization SubpartNo
Authorized OfficialJennie Ha LuongRegional Manager · (817) 457-4141
Enumeration DateMay 18, 2007
Last NPPES UpdateAugust 17, 2007
✔ NPI 1972711794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in TX · 18994
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
1501 HANDLEY DR, Fort Worth, TX 76112
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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 2

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

WESTERN DENTAL
Dentist (General Practice)
1501 HANDLEY DR
FORT WORTH, TX 76112
Tarrant County (817) 457-4141
DR. LACEDRIC REITRICH TOLLIVER D.M.D.
Dentist
1501 HANDLEY DR
FORT WORTH, TX 76112
Tarrant County (817) 457-4141

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 Elite Dental Group, PA's NPI number?

The NPI number for Elite Dental Group, PA is 1972711794. It was assigned to this organization in the NPPES registry on May 18, 2007.

Where is Elite Dental Group, PA located?

Elite Dental Group, PA is located at 1501 Handley Dr, Fort Worth, TX 76112. The listed phone number is (817) 451-4141.

What is Elite Dental Group, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Elite Dental Group, PA was last updated on August 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.