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

Ideal Dental of Waterside PLLC

Organization Dentist · NPI 1629580394

Ideal Dental of Waterside PLLC is a Dentist in Ft Worth, Texas. Registered with an NPI since 2017.

In the registry since
2017
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

5925 Convair Dr Ste F505
Ft Worth, TX 76109-1275
Phone: (817) 778-0418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1629580394
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sulman Ahmed — Ceo · (972) 331-8079
NPI enumeratedNovember 2, 2017
Last updated in NPPESMay 12, 2023
Certification dateMay 12, 2023
Mailing addressPo Box 840925, Dallas, TX 75284-0925

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