Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Abc123 Dental in Haltom PLLC

Organization Dentist · NPI 1740569144

Abc123 Dental in Haltom PLLC is a Dentist in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2011.

Licensed in
TX
In the registry since
2011
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5416 Basswood Blvd
Fort Worth, TX 76137-4400
Phone: (817) 656-1215
Fax: (877) 687-6861
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 24570 (TX)

Record details

NPI number1740569144
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tri Pham — Owner/Dentist · (817) 656-1215
Other names Abc123 Dental
NPI enumeratedAugust 16, 2011
Last updated in NPPESAugust 16, 2011
Mailing address5416 Basswood Blvd, Fort Worth, TX 76137-4400

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