Fun Dentist-South – Pediatric Dentistry, NPI 1023126786

Fun Dentist-South is a healthcare provider. based in Arlington, Texas. specializing in Pediatric Dentistry. The organization holds a License No. 9223 (TX). The NPI Number for Fun Dentist-South is 1023126786

Main info

Organization
Name
Fun Dentist-South
NPI
1023126786
Phone
(817) 478-2300
Address
4220 LITTLE ROAD
Authorized Official
DR. CHARLES W MILLER OWNER DDS, MS
Enumeration Date
25 August 2006
Last Update Date
30 January 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness80
Years active:19State licenses:3Digital endpointsUpdated within 12 months

Provider Addresses for Fun Dentist-South

  • 4220 LITTLE ROAD

    ARLINGTON, TX 76016

    Phone: (817) 478-2300

    Fax: (817) 478-4904

    Type: Mailing

  • Little Road, Arlington, Tarrant County, Texas, 76060, United States

    ARLINGTON, TX 760165601

    Phone: (817) 572-4497

    Fax: (817) 561-2997

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76016)

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Reviews

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Frequently asked questions

What unique ID ties claims to Fun Dentist-South?
NPI 1023126786 is assigned to Fun Dentist-South under the national enumeration system.
Is Fun Dentist-South active in the national directory?
Fun Dentist-South's public NPI profile is in an active state.
Does Fun Dentist-South list a primary specialty?
If you are matching referrals, note Pediatric Dentistry for Fun Dentist-South. Clinical services aligned with this taxonomy classification.
Where is Fun Dentist-South's primary listing?
We display Arlington, Texas because that is what the record indicates for Fun Dentist-South.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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