MEDICARE: LWPDA 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	1223P0221X	Pediatric Dentistry

General Provider Information

NPI Number	:	1073283271
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LWPDA PLLC

Provider Business Mailing Address
First Line	:	7109 NAVAJO TRL
Second Line	:
City	:	LAKE WORTH
State	:	TX
Zip	:	76135-3946
Country	:	US
Telephone Number	:	817-238-6450
Fax Number	:	817-238-6497

Provider Business Practice Location Address
First Line	:	7109 NAVAJO TRL
Second Line	:
City	:	LAKE WORTH
State	:	TX
Zip	:	76135-3946
Country	:	US
Telephone Number	:	817-238-6450
Fax Number	:	817-238-6497

Authorized Official
Title or Position	:	CO-OWNER
Name	:	DAVID VO
Credential	:
Telephone Number	:	469-231-8400

Provider Enumeration Date	:	09/18/2021
Last Update Date	:	09/18/2021

Similar Medicare Providers

1740626118 — DR. SARAH KIM DDS, MPH, CPH
Practice Location Address:

7109 NAVAJO TRL
FORT WORTH, TX
76135-3946

Practice Phone: 817-238-6450
Practice Fax:

1720661689 — LAKE WORTH PEDIATRIC DENTISTRY, PLLC
Practice Location Address:

7109 NAVAJO TRL
LAKE WORTH, TX
76135-3946

Practice Phone: 817-238-6450
Practice Fax:

1417364324 — VIVIAN RANCANO
Practice Location Address:

7422 PINE FOREST CIR W
LAKE WORTH, FL
33467-3946

Practice Phone: 786-473-0664
Practice Fax:

1346332251 — MR. JOESPH GEORGE SAHL PT
Practice Location Address:

1001 12TH AVE STE 201
FORT WORTH, TX
76104-3946

Practice Phone: 817-719-7714
Practice Fax:

1104072065 — DR. SCOTT MCCAULEY DPT, ECS
Practice Location Address:

1001 12TH AVE STE 201
FORT WORTH, TX
76104-3946

Practice Phone: 817-719-7714
Practice Fax: 817-796-1114

1427492941 — DR. KENNETH WHEELER DPT, OCS, NCS
Practice Location Address:

1001 12TH AVE STE 201
FORT WORTH, TX
76104-3946

Practice Phone: 817-719-7714
Practice Fax: 817-796-1114

Directions to “LWPDA 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.