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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043915192

Stephanie Liem, DDS is a Student in an Organized Health Care Education/Training Program in Fort Worth, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2023
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

12420 Timberland Blvd Ste 416
Fort Worth, TX 76244-5230
Phone: (817) 799-5948
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3302 Gaston Ave, Dallas, TX 75246-2013 — (214) 828-8215

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 40447 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1043915192
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedMarch 30, 2023
Last updated in NPPESJune 22, 2024
Certification dateJune 22, 2024
Mailing address1711 Nelson Dr, Irving, TX 75038-5963

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