Dental Boat Club P.C
NPI 1306112149 · Preferred Provider Organization · Fort Worth, TX
Dental Boat Club P.C is a Preferred Provider Organization organization in Fort Worth, TX (NPI 1306112149).
Provider details
- NPI number
- 1306112149
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Haiduong Nguyen, Owner(213) 862-0106
- License
- 22593 (TX)
Specialties & taxonomies
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
Mailing address
Registry dates
- Enumerated
- 2012-03-27
- Last updated
- 2012-03-27
Frequently asked questions
- What is Dental Boat Club P.C's NPI number?
- Dental Boat Club P.C's National Provider Identifier (NPI) is 1306112149, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dental Boat Club P.C?
- Dental Boat Club P.C is classified in the NPPES registry as Preferred Provider Organization (Managed Care Organizations).
- Where is Dental Boat Club P.C located?
- Dental Boat Club P.C's practice location on file with NPPES is 4625 Boat Club Rd, Fort Worth, TX 76135-7022.
- What is Dental Boat Club P.C's phone number?
- The practice phone number listed in the NPPES registry for Dental Boat Club P.C is (817) 666-8110.
- Who is the authorized official for Dental Boat Club P.C?
- The authorized official listed on Dental Boat Club P.C's NPPES record is Haiduong Nguyen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dental Boat Club P.C's NPI active?
- Yes — Dental Boat Club P.C's NPI (1306112149) is active in the NPPES registry as of the last update on 2012-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.