Crystal Dental of Fort Worth, P.C.
NPI 1376840306ActiveOrganization· Preferred Provider Organization· Fort Worth, TX
Preferred Provider Organization in Fort Worth, Texas, registered in NPPES in February 2011. The authorized official on file is Brian T. Le, DDS, Owner/Dentist.
Overview
| NPI | 1376840306 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 28, 2011 |
| Last updated in NPPES | Feb 28, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | 21298 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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