# DALLAS DENTAL ASSOCIATES - SILVER SAGE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Silver Sage Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609342856
- **Authorized official:** DR. STEVEN J. WINGFIELD DMD (OWNER)
- **Authorized official phone:** (678) 906-1769

## Contact information

- **Practice address:** 6650 N BEACH ST, FORT WORTH, TX 76137-1801
- **Practice address phone:** (817) 520-1702
- **Mailing address:** 6650 N BEACH ST, FORT WORTH, TX 76137-1801
- **Mailing address phone:** (817) 520-1702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/15/2018
- **Last updated:** 10/15/2018