DENTAL BOAT CLUB P.C – Preferred Provider Organization, NPI 1306112149

DENTAL BOAT CLUB P.C is a healthcare provider. based in Fort worth, Texas. specializing in Preferred Provider Organization. The organization holds a License No. 22593 (TX). The NPI Number for DENTAL BOAT CLUB P.C is 1306112149

Main info

Organization
Name
DENTAL BOAT CLUB P.C
NPI
1306112149
Phone
(817) 666-8110
Address
4625 BOAT CLUB RD.
Authorized Official
DR. HAIDUONG H NGUYEN OWNER DDS
Enumeration Date
27 March 2012
Last Update Date
27 March 2012
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for DENTAL BOAT CLUB P.C

  • 4625 BOAT CLUB RD.

    SUITE 225

    FORT WORTH, TX 75135

    Phone: (817) 666-8110

    Type: Mailing

  • 4625 BOAT CLUB RD

    STE 225

    FORT WORTH, TX 761357022

    Phone: (817) 666-8110

    Type: Location

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 75135)

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Frequently asked questions

Is DENTAL BOAT CLUB P.C listed with a National Provider Identifier?
Yes — DENTAL BOAT CLUB P.C has NPI 1306112149 on file in the registry.
Is DENTAL BOAT CLUB P.C shown as active in public data?
Registry records indicate DENTAL BOAT CLUB P.C maintains an active NPI.
What expertise is attributed to DENTAL BOAT CLUB P.C?
DENTAL BOAT CLUB P.C's specialty line reads Preferred Provider Organization. Clinical services aligned with this taxonomy classification.
Where in Texas is DENTAL BOAT CLUB P.C registered?
Use Fort Worth, Texas as the headline location for DENTAL BOAT CLUB P.C here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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