Provider Demographics
NPI:1104635762
Name:FORNEY TOOTH DENTAL MANAGEMENT, LLC
Entity type:Organization
Organization Name:FORNEY TOOTH DENTAL MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NABIHA
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-970-5551
Mailing Address - Street 1:195 FM 548 S
Mailing Address - Street 2:STE 140
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126
Mailing Address - Country:US
Mailing Address - Phone:469-970-5551
Mailing Address - Fax:469-970-5552
Practice Address - Street 1:195 FM 548 S
Practice Address - Street 2:STE 140
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126
Practice Address - Country:US
Practice Address - Phone:469-970-5551
Practice Address - Fax:469-970-5552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-07
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty