Individual provider · Type 1 NPI

Kevin L. Haywood Sr., RDA

Dental Assistant · Fort Worth, TX

NPI number 1245513209 Active

Practice location

3740 S University Dr, Suite 201
Fort Worth, TX 76109-3700

Fax (817) 367-7714

Mailing address

8701 Regal Royale Dr
Fort Worth, TX 76108-7948

Specialties and licenses

TaxonomyCodeLicense
Dental Assistant Primary 126800000X25953 (TX)

Dental Assistant: An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the d…

Another provider at this address

About NPI 1245513209

Kevin L. Haywood Sr., RDA's National Provider Identifier is 1245513209, issued on Sep 26, 2011. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in Fort Worth, TX. The record was last updated on Sep 26, 2011.