# ALASSAF DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Blue Mound Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790490837
- **Authorized official:** OMAR ALASSAF DDS (PRESIDENT)
- **Authorized official phone:** (682) 204-0031

## Contact information

- **Practice address:** 9716 BLUE MOUND RD, FORT WORTH, TX 76131-3301
- **Practice address phone:** (682) 444-6813
- **Mailing address:** 5720 MOUNTAIN STREAM TRL, FORT WORTH, TX 76244-5165
- **Mailing address phone:** (682) 444-6813

## Taxonomy

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

## Other

- **Enumeration date:** 01/23/2023
- **Last updated:** 08/04/2025