OrganizationActive
Abc123 Dental in Keller PLLC
NPI 1578988945 · Preferred Provider Organization · Keller, TX
Provider details
- NPI number
- 1578988945
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Angela Flores, Office Manager(817) 496-2343
- License
- 24570 (TX)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
460 Keller Pkwy Ste E
Keller, TX 76248-2370
Phone: (817) 496-2343
Fax: (817) 665-3822
Street-level locationGet directions
Mailing address
6426 Meadowbrook Dr
Fort Worth, TX 76112-5123
Registry dates
- Enumerated
- 2014-02-21
- Last updated
- 2014-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.