OrganizationActive
Susan Roberts Pediatric Dentistry PLLC
NPI 1306454178 · Pediatric Dentistry · Fort Worth, TX
Susan Roberts Pediatric Dentistry PLLC is a Pediatric Dentistry organization in Fort Worth, TX (NPI 1306454178).
Provider details
- NPI number
- 1306454178
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jeremy Lustig, Ceo(214) 335-0862
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
5411 Basswood Blvd Ste 201
Fort Worth, TX 76137-4479
Phone: (817) 656-3999
Approximate (ZIP-level) locationGet directions
Mailing address
3575 Lone Star Cir Ste 310
Fort Worth, TX 76177-8908
Additional practice locations (1)
- 12485 Timberland Blvd Ste 703Fort Worth, TX 76244-6429Phone: (817) 337-9720
Registry dates
- Enumerated
- 2020-07-17
- Last updated
- 2020-07-17
- Certified
- 2020-07-17
Frequently asked questions
- What is Susan Roberts Pediatric Dentistry PLLC's NPI number?
- Susan Roberts Pediatric Dentistry PLLC's National Provider Identifier (NPI) is 1306454178, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Susan Roberts Pediatric Dentistry PLLC?
- Susan Roberts Pediatric Dentistry PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Susan Roberts Pediatric Dentistry PLLC located?
- Susan Roberts Pediatric Dentistry PLLC's practice location on file with NPPES is 5411 Basswood Blvd Ste 201, Fort Worth, TX 76137-4479.
- What is Susan Roberts Pediatric Dentistry PLLC's phone number?
- The practice phone number listed in the NPPES registry for Susan Roberts Pediatric Dentistry PLLC is (817) 656-3999.
- Who is the authorized official for Susan Roberts Pediatric Dentistry PLLC?
- The authorized official listed on Susan Roberts Pediatric Dentistry PLLC's NPPES record is Jeremy Lustig, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Susan Roberts Pediatric Dentistry PLLC's NPI active?
- Yes — Susan Roberts Pediatric Dentistry PLLC's NPI (1306454178) is active in the NPPES registry as of the last update on 2020-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.