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

Crystal Dental of Fort Worth, PC

Organization Preferred Provider Organization · NPI 1376840306

Crystal Dental of Fort Worth, PC is a Preferred Provider Organization 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?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1114 E Seminary Dr
Fort Worth, TX 76115-2830
Phone: (817) 473-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preferred Provider Organization (primary) Taxonomy 305R00000X · Licence 21298 (TX)

Record details

NPI number1376840306
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Le — Owner/Dentist · (817) 793-0013
NPI enumeratedFebruary 28, 2011
Last updated in NPPESFebruary 28, 2011
Mailing address2880 Highway 157 N, Ste 102, Mansfield, TX 76063-8849

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