Timber Creek Orthodontics, P.A.
NPI 1063798718ActiveOrganization· Dentist, Orthodontics and Dentofacial Orthopedics· Fort Worth, TX
Dentist, Orthodontics and Dentofacial Orthopedics in Fort Worth, Texas, registered in NPPES in October 2011. The authorized official on file is Daniel C. Mallory, D.D.S., M.S., Orthodontist.
Overview
| NPI | 1063798718 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 26, 2011 |
| Last updated in NPPES | Oct 26, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics Primary | 1223X0400X | 20625 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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