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DECATUR FAMILY DENTAL PA NPI 1245542992


NPI Information

NPI: 1245542992
Provider Name: DECATUR FAMILY DENTAL PA

Doing Business As: DECATUR FAMILY DENTAL PA

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1801 PRECINCT LINE RD
SUITE A
HURST, TX
ZIP 76054
Phone: (817) 577-9200
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DECATUR FAMILY DENTAL PA is a general practice dentist in Hurst, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DECATUR FAMILY DENTAL PA NPI is 1245542992. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Decatur Family Dental Pa.

The provider's business location address is:

1801 PRECINCT LINE RD
SUITE A
HURST, TX
ZIP 76054-170
Phone: (817) 577-9200
Fax: (817) 281-9231

The provider's authorized official is Kevin Afkami .
The authorized official title is President and has the following contact phone number (817) 577-9200.

The enumeration date for this NPI number is 7/10/2010 and was last updated on 7/10/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice20467TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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