Organization · Type 2 NPI

Sunny Side of the Street Pediatric Dentistry

Pediatric Dentistry · Fort Worth, TX

NPI number 1649972035 Active

Practice location

5725 Golden Triangle Blvd
Fort Worth, TX 76244-4473

Fax (817) 799-6671

Mailing address

5801 Golden Triangle Blvd Ste 103
Fort Worth, TX 76244-4411

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone listed

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1649972035

Sunny Side of the Street Pediatric Dentistry's National Provider Identifier is 1649972035, issued on Mar 20, 2023. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Fort Worth, TX. The record was last updated on Mar 29, 2023.