NPI age
14 years
Enumerated 2012-02-16
● Active Type 2 · Organization
Ikids Pediatric Dentistry Fort Worth, P.c.
Ikids Pediatric Dentistry Fort Worth, P.c. is 1 of 1797 dentist organizations in Texas.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Aguilar
Director Of Revenue & Credentialing
Last NPPES update
2021-03-04
Source: monthly bulk 2026-05
How this organization compares
Across 1797 active dentist providers in Texas.
NPI age
14 years
≈ at median (14 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-02Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
4504 W Vickery Blvd
Fort Worth, TX 76107
Mailing address
2500 E Broad St Ste 204
Mansfield, TX 760634361
Authorized official
Alyssa Aguilar
Director Of Revenue & Credentialing
📞 8174668554
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Shreya Lettre, DDS Dentist NPI 1932639994
Specialties
-
Dentist PrimaryAn age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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