OrganizationActive
Heritage Trace Dental, PA
NPI 1013164284 · General Practice Dentistry · Keller, TX
Provider details
- NPI number
- 1013164284
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Brett Nielsen, Vice President(817) 741-4288
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4160 Heritage Trace Pkwy
Suite 408
Keller, TX 76248-1312
Phone: (817) 741-4288
Street-level locationGet directions
Mailing address
4160 Heritage Trace Pkwy
Keller, TX 76248-1313
Registry dates
- Enumerated
- 2008-08-19
- Last updated
- 2008-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.