NPI age
4 years
Enumerated 2021-08-13
● Active Type 2 · Organization
Subpart
Dentrust Dental Texas, P.c.
Dentrust Dental Texas, P.c. is 1 of 15661 dentist organizations in Texas.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Clark
Director Of Credentialing
Last NPPES update
2021-08-13
Source: monthly bulk 2026-05
How this organization compares
Across 15661 active dentist providers in Texas.
NPI age
4 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-08Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
4250 Clear Creek Rd, #213
Ft. Hood, TX 76544
Mailing address
1221 Vinewood Dr
Seffner, FL 335844829
Authorized official
Amanda Anne Clark
Director Of Credentialing
📞 2679275000
Specialties
-
Dentist PrimaryA 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 18598 | LC LICENSE |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
DOCS Ft. Hood
Practice context
Single-site organization. Only one practice location on file.
Subpart of Dentrust Dental Texas, Pc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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