DR. LACEDRIC REITRICH TOLLIVER D.M.D.
NPI 1972817948
Dentist in Fort Worth, TX

Active since August 02, 2010
1501 HANDLEY DR, FORT WORTH, TX 76112(817) 457-4141 Get Directions Write a Review

NPPES record last updated: August 11, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Lacedric Reitrich Tolliver D.m.d. NPPES

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

DR. LACEDRIC REITRICH TOLLIVER D.M.D. (NPI 1972817948) is an individual dentist in Fort Worth, Texas, licensed in Texas (25725) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1972817948
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. LACEDRIC REITRICH TOLLIVERCredential: D.M.D.
Location Address1501 HANDLEY DRFort Worth, TX 76112-3328
Mailing Address2502 Riverside Pkwy, Apt 1324Grand Prairie, TX 75050-7969 · (617) 717-4487
Sole ProprietorYes
Enumeration DateAugust 2, 2010
Last NPPES UpdateAugust 11, 2010
NPI 1972817948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in TX · 25725
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.

1501 HANDLEY DR, Fort Worth, TX 76112

Accepted Insurance

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.

Dentist (General Practice)
1501 HANDLEY DR
FORT WORTH, TX 76112
Dentist (Prosthodontics)
1501 HANDLEY DR
FORT WORTH, TX 76112

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 Lacedric Tolliver's NPI number?

The NPI number for Lacedric Tolliver is 1972817948. It was assigned to this individual provider in the NPPES registry on August 2, 2010.

Where is Lacedric Tolliver located?

Lacedric Tolliver practices at 1501 Handley Dr, Fort Worth, TX 76112. The listed phone number is (817) 457-4141.

What is Lacedric Tolliver's specialty?

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

What insurance does Lacedric Tolliver accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Lacedric Tolliver as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lacedric Tolliver was last updated on August 11, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.