OrganizationActive
Facial and Cosmetic Surgery of Fort Worth
NPI 1720690100 · Oral and Maxillofacial Surgery (Dentist) · Fort Worth, TX
Provider details
- NPI number
- 1720690100
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Keith Sonneveld, Single Member/Owner(817) 927-1818
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(64/100 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
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
5825 Edwards Ranch Rd Ste 200
Fort Worth, TX 76109-4142
Phone: (817) 927-1818
Fax: (817) 927-2351
Street-level locationGet directions
Mailing address
5825 Edwards Ranch Rd Ste 200
Fort Worth, TX 76109-4142
Other names (DBA / former)
- Doing business as
- Sonneveld Oral & Facial Surgery
Registry dates
- Enumerated
- 2020-08-18
- Last updated
- 2025-08-29
- Certified
- 2025-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.