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

Mr. Kevin L Haywood Sr., RDA

Individual provider Dental Assistant · NPI 1245513209

Mr. Kevin L Haywood Sr., RDA is a Dental Assistant in Fort Worth, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2011

Practice location Address checks out

3740 S University Dr Ste 201
Fort Worth, TX 76109-3700
Phone: (817) 614-0794
Fax: (817) 367-7714
Show map & directions

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

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X · Licence 25953 (TX)

Record details

NPI number1245513209
Entity typeIndividual (Type 1)
GenderMale
Credentials RDA
Sole proprietorYes
NPI enumeratedSeptember 26, 2011
Last updated in NPPESSeptember 26, 2011