NPI 1740945260 · live from the CMS NPI Registry
1st Dental & Orthodontics
Dentist, General Practice in Fort Worth, TX. National Provider Identifier 1740945260, active.
NPI record
| NPI | 1740945260 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 5540 Sycamore School Rd Ste 324, Fort Worth, TX 76123 |
| Practice phone | 817-725-7500 |
| Enumerated | November 1, 2021 |
| Last updated | November 1, 2021 |
| Authorized official | Omar Fetouh, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.