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

Timber Creek Orthodontics, PA

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1063798718

Timber Creek Orthodontics, PA is an Orthodontics and Dentofacial Orthopedics Dentistry in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2011.

Licensed in
TX
In the registry since
2011
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

12650 N Beach St Ste 100
Fort Worth, TX 76244-4243
Phone: (817) 562-3292
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 20625 (TX)

Record details

NPI number1063798718
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Mallory — Orthodontist · (817) 562-3292
NPI enumeratedOctober 26, 2011
Last updated in NPPESOctober 26, 2011
Mailing address12650 N Beach St, Suite 100, Fort Worth, TX 76244-4243

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