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NPI Code Detail

MEDICARE: DR. ADAM JAMES PENA DDS

MEDICARE: DR. ADAM JAMES PENA DDS
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
11223G0001XGeneral Practice Dentistry39725TX

General Provider Information

NPI Number : 1700586724
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADAM JAMES PENA DDS
Provider Business Mailing Address
First Line : 6443 MCCART AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76133-4702
Country : US
Telephone Number : 817-984-7460
Fax Number :
Provider Business Practice Location Address
First Line : 6443 MCCART AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76133-4702
Country : US
Telephone Number : 817-984-7460
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2023
Last Update Date : 02/18/2026

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Directions to “ DR. ADAM JAMES PENA DDS” Practice Location

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