# IDEAL DENTAL OF CLIFFORD CROSSING 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:** 1497209373
- **Authorized official:** DR. SHALIN PATEL DDS (OWNER)
- **Authorized official phone:** (972) 331-8067

## Contact information

- **Practice address:** 515 W LOOP 820 N STE 101, FORT WORTH, TX 76108-1450
- **Practice address phone:** (817) 916-8757
- **Mailing address:** 12770 MERIT DR, SUITE 850, DALLAS, TX 75251-1209

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 08/09/2016
- **Last updated:** 12/17/2024