Organization · Type 2 NPI

Crystal Dental of Fort Worth, P.c.

Preferred Provider Organization · Fort Worth, TX

NPI number 1376840306 Active

Practice location

1114 E Seminary Dr
Fort Worth, TX 76115-2830

Mailing address

2880 Highway 157 N, Ste 102
Mansfield, TX 76063-8849

Specialties and licenses

TaxonomyCodeLicense
Preferred Provider Organization Primary 305R00000X21298 (TX)

Preferred Provider Organization: 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.

2 other providers at this address

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About NPI 1376840306

Crystal Dental of Fort Worth, P.c.'s National Provider Identifier is 1376840306, issued on Feb 28, 2011. The primary taxonomy on file is Preferred Provider Organization (305R00000X), and the practice location is in Fort Worth, TX. The record was last updated on Feb 28, 2011.