MEDICARE: ACMA DENTAL GROUP 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	:	1356913198
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACMA DENTAL GROUP PLLC

Provider Business Mailing Address
First Line	:	520 E VINE ST UNIT 484
Second Line	:
City	:	KELLER
State	:	TX
Zip	:	76244-3821
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4730 BOAT CLUB RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76135-2002
Country	:	US
Telephone Number	:	817-237-0388
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR
Name	:	KACEY MAHONEY
Credential	:	DMD
Telephone Number	:	817-318-6329

Provider Enumeration Date	:	07/12/2021
Last Update Date	:	08/30/2022

Similar Medicare Providers

1912054545 — BRENT ALLEN SPEAR DDS
Practice Location Address:

4730 BOAT CLUB RD
FORT WORTH, TX
76135-2002

Practice Phone: 817-237-0388
Practice Fax:

1609914258 — DR. JAMES B HAMMAN D.D.S.
Practice Location Address:

4730 BOAT CLUB RD
FORT WORTH, TX
76135-2002

Practice Phone: 817-237-0388
Practice Fax: 817-237-0397

1770623449 — DR. GARY W SANDERS D.C., F.A.S.A
Practice Location Address:

4712 BOAT CLUB RD
FORT WORTH, TX
76135-2002

Practice Phone: 817-237-2930
Practice Fax: 817-237-4143

1336441625 — SANDERS CHIROPRACTIC
Practice Location Address:

4712 BOAT CLUB RD
FORT WORTH, TX
76135-2002

Practice Phone: 817-237-2930
Practice Fax: 817-237-4143

1427722685 — CARA CAHALAN DDS
Practice Location Address:

4730 BOAT CLUB RD
FORT WORTH, TX
76135-2002

Practice Phone: 817-237-0388
Practice Fax:

1326811324 — CASEY SANDERS DC
Practice Location Address:

4712 BOAT CLUB RD
FORT WORTH, TX
76135-2002

Practice Phone: 817-944-4409
Practice Fax:

Directions to “ACMA DENTAL GROUP 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.