MEDICARE: EXCEL DENTAL CLINIC OF FORT WORTH, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

General Provider Information

NPI Number	:	1306167101
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXCEL DENTAL CLINIC OF FORT WORTH, PC

Provider Business Mailing Address
First Line	:	4709 RAVENDALE DR
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75082-3838
Country	:	US
Telephone Number	:	469-855-9941
Fax Number	:

Provider Business Practice Location Address
First Line	:	913 E BERRY ST STE 103
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76110-4451
Country	:	US
Telephone Number	:	469-855-9941
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. QUYEN TU HUYNH
Credential	:	DDS
Telephone Number	:	469-855-9941

Provider Enumeration Date	:	06/15/2010
Last Update Date	:	04/16/2015

Similar Medicare Providers

1124984133 — CLINICA HISPANA SAN SEBASTIAN
Practice Location Address:

913 E BERRY ST STE 121
FORT WORTH, TX
76110-4451

Practice Phone: 682-224-2099
Practice Fax: 682-224-2099

1962335513 — LEGACY OPCO LLC
Practice Location Address:

3310 N 50TH ST
FORT SMITH, AR
72904-4451

Practice Phone: 732-330-2157
Practice Fax:

1740236777 — NORTHPORT HEALTH SERVICES OF ARKANSAS, LLC
Practice Location Address:

3310 N 50TH ST
FORT SMITH, AR
72904-4451

Practice Phone: 479-783-3101
Practice Fax:

1861612608 — MRS. KATHRYN LEIGH LOVOI PA-C
Practice Location Address:

2601 MIDPOINT DR , SUITE 100
FORT COLLINS, CO
80525-4451

Practice Phone: 970-980-2425
Practice Fax: 970-980-2430

1407566920 — ASHLEY BYRD
Practice Location Address:

114 W VIRGINIA AVE
NUTTER FORT, WV
26301-4451

Practice Phone: 304-844-7174
Practice Fax:

1629767421 — MRS. LAURA NICOLE WOOD ARNP
Practice Location Address:

14090 METROPOLIS AVE STE 102
FORT MYERS, FL
33912-4451

Practice Phone: 239-789-2184
Practice Fax:

Directions to “EXCEL DENTAL CLINIC OF FORT WORTH, PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.