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General NPI Number Information
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NPI Number | 1104635762
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Entity Type | Organization
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Legal Business Name | FORNEY TOOTH DENTAL MANAGEMENT, LLC
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 195 FM 548 S STE 140
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City | FORNEY
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State | TX
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Zip | 75126
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Country | US
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Telephone | 469-970-5551
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Fax | 469-970-5552
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Provider Business Mailing Address
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Address Line | 195 FM 548 S STE 140
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City | FORNEY
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State | TX
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Zip | 75126
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Country | US
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Telephone | 469-970-5551
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Fax | 469-970-5552
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. NABIHA AHMED
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Credential |
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Telephone | 469-970-5551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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