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

Individual provider Dentist · NPI 1972817948

Dr. Lacedric Reitrich Tolliver, DMD is a Dentist in Fort Worth, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2010
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1501 Handley Dr
Fort Worth, TX 76112-3328
Phone: (817) 457-4141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 25725 (TX)

Record details

NPI number1972817948
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedAugust 2, 2010
Last updated in NPPESAugust 11, 2010

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