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

Ikids Pediatric Dentistry Fort Worth, PC

Organization Pediatric Dentistry · NPI 1710250097

Ikids Pediatric Dentistry Fort Worth, PC is a Pediatric Dentistry in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2012.

Licensed in
TX
In the registry since
2012
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

4504 W Vickery Blvd
Fort Worth, TX 76107
Phone: (817) 453-2800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 24272 (TX)

Record details

NPI number1710250097
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alyssa Aguilar — Director Of Revenue & Credentialing · (817) 466-8554
NPI enumeratedFebruary 16, 2012
Last updated in NPPESMarch 4, 2021
Certification dateMarch 4, 2021
Mailing address2500 E Broad St Ste 204, Mansfield, TX 76063-4361

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