| Showtime Dental PLLC | |
|
3401 Altamesa Blvd Ste 128 Fort Worth TX 76133-5773 | |
| (817) 361-8111 | |
| Not Available |
| Full Name | Showtime Dental PLLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3401 Altamesa Blvd Ste 128, Fort Worth, Texas |
| Authorized Official Name and Position | Kevin R Bhuva (DENTIST) |
| Authorized Official Contact | 9173311262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Showtime Dental PLLC 3401 Altamesa Blvd Ste 128 Fort Worth TX 76133-5773 | Showtime Dental PLLC 3401 Altamesa Blvd Ste 128 Fort Worth TX 76133-5773 Ph: (817) 361-8111 |
| NPI Number | 1952804064 |
|---|---|
| Provider Enumeration Date | 03/14/2018 |
| Last Update Date | 06/28/2023 |
| Certification Date | 06/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952804064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 29237 (Texas) | Primary |
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