MEDICARE: HAPPY TEETH 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	:	1225739311
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAPPY TEETH PLLC

Provider Business Mailing Address
First Line	:	1108 RHETT DR
Second Line	:
City	:	COLLEYVILLE
State	:	TX
Zip	:	76034-1119
Country	:	US
Telephone Number	:	410-441-6163
Fax Number	:

Provider Business Practice Location Address
First Line	:	9112 CAMP BOWIE WEST BLVD STE 135
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-6067
Country	:	US
Telephone Number	:	817-259-0671
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. MANDEEP KAUR BAKSHI
Credential	:	DDS
Telephone Number	:	410-441-6163

Provider Enumeration Date	:	03/15/2023
Last Update Date	:	03/15/2023

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Directions to “HAPPY TEETH PLLC ” Practice Location

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