OrganizationActive
Hwy 30 Dental Clinic P a
NPI 1083836217 · General Practice Dentistry · Fort Worth, TX
Provider details
- NPI number
- 1083836217
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kevin Afkami, President(817) 654-9760
- License
- 20467 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1204 Woodhaven Blvd
Fort Worth, TX 76112
Phone: (817) 654-9760
Fax: (817) 451-8389
Street-level locationGet directions
Mailing address
1204 Woodhaven Blvd
Fort Worth, TX 76112
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.