MEDICARE: ARCHSTONE DENTAL-BEACH 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	122300000X	Dentist

General Provider Information

NPI Number	:	1700104254
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARCHSTONE DENTAL-BEACH PLLC

Provider Business Mailing Address
First Line	:	PO BOX 734753
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75373-4753
Country	:	US
Telephone Number	:	972-869-3789
Fax Number	:	972-590-8809

Provider Business Practice Location Address
First Line	:	7630 N BEACH ST
Second Line	:	SUITE 130
City	:	FORT WORTH
State	:	TX
Zip	:	76137-1299
Country	:	US
Telephone Number	:	972-869-3789
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	MARY PU
Credential	:	PHARMD
Telephone Number	:	817-675-8753

Provider Enumeration Date	:	05/07/2010
Last Update Date	:	04/25/2023

Similar Medicare Providers

1942225677 — DR. APRIL C LANGHAM D.C.
Practice Location Address:

7630 N BEACH ST , STE 160
FORT WORTH, TX
76137-1299

Practice Phone: 817-281-5556
Practice Fax: 817-281-5520

1396855862 — KATIE WALKER MPT
Practice Location Address:

7630 N BEACH ST
FORT WORTH, TX
76137-1299

Practice Phone: 817-428-9900
Practice Fax: 817-428-9921

1619059490 — SINDHU ENTERPRISE INC
Practice Location Address:

7630 N BEACH ST , SUITE 170
FORT WORTH, TX
76137-1299

Practice Phone: 817-427-8774
Practice Fax: 817-427-8776

1750460135 — LAURA RHONE P.A.
Practice Location Address:

7630 N BEACH ST , SUITE 140
FORT WORTH, TX
76137-1299

Practice Phone: 817-281-2977
Practice Fax: 817-788-2530

1609992494 — LANGHAM CHIROPRACTIC ENTERPRISES, PA
Practice Location Address:

7630 N BEACH ST , SUITE 160
FORT WORTH, TX
76137-1299

Practice Phone: 817-281-5556
Practice Fax: 817-281-5520

1194149856 — KATHLEEN E POLLAN PT
Practice Location Address:

7630 N BEACH ST
FORT WORTH, TX
76137-1299

Practice Phone: 817-428-9900
Practice Fax: 817-370-9894

Directions to “ARCHSTONE DENTAL-BEACH 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.