# ALTAMESA DENTAL HOME PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174116974
- **Authorized official:** DR. ROHIT NARAYAN DDS (OWNER/DENTIST)
- **Authorized official phone:** (423) 946-9375

## Contact information

- **Practice address:** 2101 ALTAMESA BLVD \# 103, FORT WORTH, TX 76134-3328
- **Practice address phone:** (423) 946-9375
- **Mailing address:** 2101 ALTAMESA BLVD \# 103, FORT WORTH, TX 76134-3328

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/12/2021
- **Last updated:** 02/12/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 26309 | DENTAL LIC | TX |