NPI 1942927843 · live from the CMS NPI Registry
3515 Sycamore School Rd PLLC
Dentist, General Practice in Fort Worth, TX. National Provider Identifier 1942927843, active.
NPI record
| NPI | 1942927843 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 3515 Sycamore School Rd Ste 170, Fort Worth, TX 76133 |
| Practice phone | 817-809-4860 |
| Mailing address | 2401 E Randol Mill Rd Ste 520, Arlington, TX 76011 |
| Enumerated | October 21, 2022 |
| Last updated | October 21, 2022 |
| Authorized official | Gunjan Dhir, Owner |
| Other names | Fresh Smiles Of Fort Worth South |
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.