CC DENTAL PC – Dental Clinic/Center, NPI 1851569297

CC DENTAL PC is a healthcare provider. based in Southlake, Texas. specializing in Dental Clinic/Center. The NPI Number for CC DENTAL PC is 1851569297

Main info

Organization
Name
CC DENTAL PC
NPI
1851569297
Phone
(817) 737-8731
Address
PO BOX 93653
Authorized Official
DR. TY DOUGLAS SHAFER OWNER DDS
Enumeration Date
20 February 2008
Last Update Date
20 February 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:18State licenses:0Digital endpointsOther names

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Provider Addresses for CC DENTAL PC

  • PO BOX 93653

    SOUTHLAKE, TX 760920115

    Phone: (817) 737-8731

    Fax: (817) 763-9342

    Type: Mailing

  • 1051, Haskell Street, Fort Worth, Tarrant County, Texas, 76107, United States

    FT WORTH, TX 76107

    Phone: (817) 737-8731

    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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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 ·

Educational use only—not medical, billing, or legal advice.

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

Insurance plans in this area (ZIP 76092)

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Reviews

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Frequently asked questions

What federal number belongs to CC DENTAL PC?
The federal identifier for CC DENTAL PC is NPI 1851569297.
Does this profile mean CC DENTAL PC is currently active?
Yes — CC DENTAL PC appears active in the national provider directory.
What field does CC DENTAL PC work in?
You can think of CC DENTAL PC as practicing within Dental Clinic/Center. Clinical services aligned with this taxonomy classification.
What location metadata exists for CC DENTAL PC?
The page summarizes Southlake, Texas for CC DENTAL PC; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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