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

Fossil Ridge Family Dentistry PLLC

Organization Dentist · NPI 1346697307

Fossil Ridge Family Dentistry PLLC is a Dentist in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2016.

Licensed in
TX
In the registry since
2016
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

3900 N Tarrant Pkwy Ste 100
Fort Worth, TX 76244-5410
Phone: (201) 469-7076
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 24625 (TX)

Record details

NPI number1346697307
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Krishna Colluru — Owner · (201) 469-7076
NPI enumeratedMay 19, 2016
Last updated in NPPESMay 19, 2016
Mailing address7332 San Felipe Dr, Irving, TX 75039-3356

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