Provider Demographics
NPI:1891063871
Name:MCCART DENTAL PLAZA PC
Entity Type:Organization
Organization Name:MCCART DENTAL PLAZA PC
Other - Org Name:ALL ABOUT DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HAMID
Authorized Official - Middle Name:
Authorized Official - Last Name:FARAHANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:817-346-9700
Mailing Address - Street 1:7664 MCCART AVE
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76133-7803
Mailing Address - Country:US
Mailing Address - Phone:817-346-9700
Mailing Address - Fax:817-346-9708
Practice Address - Street 1:7664 MCCART AVE
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76133-7803
Practice Address - Country:US
Practice Address - Phone:817-346-9700
Practice Address - Fax:817-346-9708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-06
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21714122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty