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

Parkway Dental Professionals

Organization Preferred Provider Organization · NPI 1174910111

Parkway Dental Professionals is a Preferred Provider Organization in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2015.

Licensed in
TX
In the registry since
2015

Practice location Address checks out

4200 Bryant Irvin Rd Ste 101
Fort Worth, TX 76109
Phone: (817) 735-1616
Fax: (817) 735-8132
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preferred Provider Organization (primary) Taxonomy 305R00000X · Licence 22699 (TX)

Record details

NPI number1174910111
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Darlin Lacour — Office Manager · (817) 735-1616
Other names The Parkway Dentist
NPI enumeratedApril 16, 2015
Last updated in NPPESApril 16, 2015
Mailing address4200 Bryant Irvin Rd. Ste. 101, Fort Worth, TX 76109

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