Fun Dentist-south is a Pediatric Dental Clinic in Mansfield, Texas. It is located at 2300 Matlock Road, Suite 28, Mansfield, TX and its contact number is 817-539-0500. The authorized person for Fun Dentist-south is Dr. Charles W. Miller
who is Owner of the clinic and their contact number is 817-478-2300. Fun Dentist-south Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Fun Dentist-south Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Fun Dentist-south
Specialization:
Pediatric Dentistry
Clinic Address:
2300 Matlock Road, Suite 28, Mansfield, Texas, 76063
Phone:
817-539-0500
Fax:
817-539-0505
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Charles W. Miller
Position:
Owner
Contact Number:
817-478-2300
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Fun Dentist-south clinic are as mentioned below.
NPI Number:
1669779328
NPI Enumeration Date:
16 Feb, 2011
NPI Last Update On:
12 Sep, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fun Dentist-south are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
Primary
Pediatric Dentistry
9223
Texas
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
285834201
Medicaid
Texas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Fun Dentist-south 4220 Little Road, Arlington, Texas
Zip:
76016
Phone Number:
817-478-2300
Fax Number:
817-478-4904
Patients can reach Fun Dentist-south at 2300 Matlock Road, Suite 28, Mansfield, Texas or can call to book an appointment on 817-539-0500. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.