MEDICARE: WESTVIEW DENTISTRY 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	:	1750255188
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTVIEW DENTISTRY PLLC

Provider Business Mailing Address
First Line	:	7040 HARRIS PKWY STE 100
Second Line	:
City	:	FT WORTH
State	:	TX
Zip	:	76132-4218
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7040 HARRIS PKWY STE 100
Second Line	:
City	:	FT WORTH
State	:	TX
Zip	:	76132-4218
Country	:	US
Telephone Number	:	817-292-8080
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR, PAYER RELATIONS
Name	:	AMANDA LIGHTFOOT
Credential	:
Telephone Number	:	214-702-0708

Provider Enumeration Date	:	09/30/2025
Last Update Date	:	09/30/2025

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Directions to “WESTVIEW DENTISTRY PLLC ” Practice Location

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