MEDICARE: E.Q. DENTAL

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	23321	TX

General Provider Information

NPI Number	:	1740561000
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	E.Q. DENTAL

Provider Business Mailing Address
First Line	:	3529 HERITAGE TRACE PKWY
Second Line	:	171
City	:	FORT WORTH
State	:	TX
Zip	:	76244-4970
Country	:	US
Telephone Number	:	817-741-4567
Fax Number	:	817-741-4576

Provider Business Practice Location Address
First Line	:	3529 HERITAGE TRACE PKWY
Second Line	:	171
City	:	FORT WORTH
State	:	TX
Zip	:	76244-4970
Country	:	US
Telephone Number	:	817-741-4567
Fax Number	:	817-741-4576

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. THOMAS YOUNG
Credential	:	DDS
Telephone Number	:	817-741-4567

Provider Enumeration Date	:	08/31/2011
Last Update Date	:	08/31/2011

Similar Medicare Providers

1154459352 — SINDHU ENTERPRISE INC
Practice Location Address:

3529 HERITAGE TRACE PKWY , STE 141
FORT WORTH, TX
76244-4970

Practice Phone: 817-741-7100
Practice Fax: 817-741-7101

1427249887 — THOMAS YOUNG DDS
Practice Location Address:

3529 HERITAGE TRACE PKWY , SUITE 171
FORT WORTH, TX
76244-4970

Practice Phone: 817-741-4567
Practice Fax: 817-741-4576

1427316025 — ROSE CHIROPRACTIC & WELLNESS
Practice Location Address:

3529 HERITAGE TRACE PKWY , 155
FORT WORTH, TX
76244-4970

Practice Phone: 214-704-4144
Practice Fax: 972-317-4196

1912029109 — DR. CHRISTINE CELESTE BERGAN PH.D., CCC-SLP
Practice Location Address:

4141 S HULEN ST , APT. 1134
FORT WORTH, TX
76109-4970

Practice Phone: 319-530-7469
Practice Fax:

1629515937 — ANGELA C BALEZTENA LAT, ATC
Practice Location Address:

4141 S HULEN ST , #1135
FORT WORTH, TX
76109-4970

Practice Phone: 720-236-2936
Practice Fax:

1518151166 — MS. LARRY A. BRAND H.I.S.
Practice Location Address:

142 WELLES ST
FORTY FORT, PA
18704-4970

Practice Phone: 570-287-6606
Practice Fax: 570-287-6833

Directions to “E.Q. DENTAL ” 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.