P Praxis·MD
● Active Type 2 · Organization

Lifecycle Dental Resource Inc.

Dentist·Fort Worth, TX· NPI 1376934554 · Enumerated 2015 · 11 years on NPI
Lifecycle Dental Resource Inc. is 1 of 15661 dentist organizations in Texas.
NPI age
11 years
Enumerated 2015-02-10
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Allen
Owner
Last NPPES update
2015-02-10
Source: monthly bulk 2026-05

How this organization compares

Across 15661 active dentist providers in Texas.

NPI age
11 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2015 → 2026

2015-02Enumerated in NPPES
2015 2026

Where they practice

Primary practice location
6618 Fossil Bluff Dr, Suite 100
Fort Worth, TX 761377533
📞 8174398770
Mailing address
6618 Fossil Bluff Dr, Suite 100
Fort Worth, TX 761377533
📞 8174398770

Authorized official

Tammy Allen
Owner
📞 8174398770

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Dentist Primary
    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
    TX license #19529 taxonomy 1223G0001X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Lifecycle dental
    Type code 3 recorded 2015-02-10

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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