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Crystal Dental Of Fort Worth, P.c.
Preferred Provider Organization in Fort Worth, Texas
NPI 1376840306

Crystal Dental Of Fort Worth, P.c. is a Preferred Provider Organization based in Mansfield, TX. Crystal Dental Of Fort Worth, P.c. practices in Fort Worth, TX. The NPI Number for Crystal Dental Of Fort Worth, P.c. is 1376840306 and holds a License No. 21298 (Texas).

The current practice location address for Crystal Dental Of Fort Worth, P.c. is 1114 E Seminary Dr, Fort Worth, TX and can be reached out via phone at 817-473-6200. You can also correspond with Crystal Dental Of Fort Worth, P.c. through the mailing address at 2880 HIGHWAY 157 N, MANSFIELD, TX - 76063-8849 (mailing address contact number: ).

Location: 1114 E Seminary Dr, Fort Worth, TX, 76063-8849
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376840306
Provider Name
Crystal Dental Of Fort Worth, P.c.
Credential
Provider Entity Type
Organization
Address
1114 E Seminary Dr, Fort Worth, TX, 76063-8849
Phone Number
817-473-6200
Fax Number
Provider Enumeration Date
02/28/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
158687708 05 TX
175019201 05 TX
204803503 05 TX
institution
Provider Business Practice Location Address Details
Address
1114 E Seminary Dr
City
Fort Worth
State
Texas
Zip
76115-2830
Phone Number
817-473-6200
Fax Number
person
Provider Business Mailing Address Details
Address
1114 E Seminary Dr
City
Fort Worth
State
Texas
Zip
76115-2830
Phone Number
817-473-6200
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
21298 (Texas)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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