NPI 1003186495

Country Day Dental

Organisation Dental Clinic/Center Fort Worth, TX

Practice location

Address: 4255 Bryant Irvin Rd Suite 111, Fort Worth, TX 76109-4233
Phone: (817) 731-9487
Fax: (817) 731-2846

Authorised official

Name: Richard Scott McDonald
Title: Owner/Dentist
Phone: (817) 731-9487

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 12997 (TX)

Other Clinic/Center providers in Texas →

Registry record

NPI: 1003186495
Entity type: Organization
NPI issued: 3 Jan 2012
Record last updated: 3 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.