MEDICARE: FTWH DENTAL PLLC

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	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1306490156
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FTWH DENTAL PLLC

Provider Business Mailing Address
First Line	:	6600 NORTH FWY STE 109
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76137-7556
Country	:	US
Telephone Number	:	972-679-3630
Fax Number	:

Provider Business Practice Location Address
First Line	:	6600 NORTH FWY STE 109
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76137-7556
Country	:	US
Telephone Number	:	972-679-3630
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	SUKHRAJ KHASSA
Credential	:
Telephone Number	:	269-753-9600

Provider Enumeration Date	:	07/30/2019
Last Update Date	:	07/30/2019

Similar Medicare Providers

1992914758 — EDWINA JIMENEZ EVANGELISTA D.D.S.
Practice Location Address:

6600 NORTH FWY , SUITE 109
FORT WORTH, TX
76137-7556

Practice Phone: 817-232-4600
Practice Fax: 817-232-4610

1841591658 — EVANGELISTA DENTAL CARE, PLLC
Practice Location Address:

6600 NORTH FWY STE 109
FORT WORTH, TX
76137-7556

Practice Phone: 817-232-4600
Practice Fax: 817-232-4610

1972434074 — FMR IMPLANT SERVICES LLC
Practice Location Address:

6600 NORTH FWY STE 109
FT WORTH, TX
76137-7556

Practice Phone: 972-286-5711
Practice Fax: 972-286-5715

1235681842 — AP DISABILITY SERVICES LLC
Practice Location Address:

4208 SWEETGUM WAY
FORT WORTH, TX
76133-7556

Practice Phone: 817-896-5858
Practice Fax:

1053837625 — VIVIANE GHOMSI
Practice Location Address:

4826 FORT TOTTEN DR NE APT 2
WASHINGTON, DC
20011-7556

Practice Phone: 240-491-7896
Practice Fax:

1154974475 — CAROLE MEYOU
Practice Location Address:

4826 FORT TOTTEN DR NE APT 2
WASHINGTON, DC
20011-7556

Practice Phone: 240-743-0843
Practice Fax:

Directions to “FTWH DENTAL PLLC ” 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.