Unknown Individual – Pediatric Dentistry, NPI 1053324707
Pediatric Dentistry
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Matlock Road, Arlington, Tarrant County, Texas, 76063, United States
STE 208
ARLINGTON, TX 76015
Phone: (817) 465-1888
Fax: (817) 466-8879
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
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 76015)
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