National Provider Identifier Database

PARKWAY DENTAL PROFESSIONALS
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

PARKWAY DENTAL PROFESSIONALS
4200 BRYANT IRVIN RD. STE. 101
FORT WORTH, TX76109
Phone: 817-735-1616
Fax: 817-735-8132
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for PARKWAY DENTAL PROFESSIONALS

NPI Number 1174910111
Legal business name
LBN
PARKWAY DENTAL PROFESSIONALS
Authorized official DARLIN LACOUR - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 04/16/2015
Last updated 04/16/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: 22699

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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