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

Cowtown Dental

Organization Dental Clinic/Center · NPI 1760117808

Cowtown Dental is a Dental Clinic/Center in Fort Worth, Texas. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

4930 Camp Bowie Blvd
Fort Worth, TX 76107-4153
Phone: (817) 735-4555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1760117808
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Payton Keller — Managing Member · (402) 216-9318
NPI enumeratedJuly 21, 2022
Last updated in NPPESJuly 21, 2022
Certification dateJuly 21, 2022
Mailing address4930 Camp Bowie Blvd, Fort Worth, TX 76107-4153

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