NPI age
8 years
Enumerated 2018-01-24
● Active Type 2 · Organization
Fort Worth Dental Care Pllc
Fort Worth Dental Care Pllc is 1 of 1762 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Brogdon
Owner
Last NPPES update
2018-01-24
Source: monthly bulk 2026-05
How this organization compares
Across 1762 active clinic/center providers in Texas.
NPI age
8 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2018 → 2026
2018-01Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
3646 Granbury Rd # 104
Fort Worth, TX 761093717
Mailing address
3646 Granbury Rd # 104
Fort Worth, TX 761093717
Authorized official
Stephen Gatlin Brogdon, DDS
Owner
📞 8179234606
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 1194835215 | NPI |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.