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

Heritage Trace Dental, PA

Organization General Practice Dentistry · NPI 1013164284

Heritage Trace Dental, PA is a General Practice Dentistry in Keller, Texas. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4160 Heritage Trace Pkwy Ste 408
Keller, TX 76248-1312
Phone: (817) 741-4288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1013164284
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brett Nielsen — Vice President · (817) 741-4288
NPI enumeratedAugust 19, 2008
Last updated in NPPESAugust 19, 2008
Mailing address4160 Heritage Trace Pkwy, Suite 408, Keller, TX 76248-1313

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