Healthcare Provider Details

I. General information

NPI: 1295672319
Provider Name (Legal Business Name): 3D IMPLANT DENTAL CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1060 W PIPELINE RD STE 103
HURST TX
76053-4732
US

IV. Provider business mailing address

1060 W PIPELINE RD STE 103
HURST TX
76053-4732
US

V. Phone/Fax

Practice location:
  • Phone: 972-325-8080
  • Fax:
Mailing address:
  • Phone: 469-887-0444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. ELIJAH ARRINGTON III
Title or Position: ADMINISTRATOR
Credential: DMD
Phone: 972-325-8080