Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LACEDRIC REITRICH TOLLIVER, D.M.D.
Active Sole ProprietorDR. LACEDRIC REITRICH TOLLIVER, D.M.D. is a Dentist healthcare provider located in FORT WORTH, Texas. NPI 1972817948 is currently active in the NPPES registry. Verify at CMS.
Dentist · FORT WORTH, TX
Registration Details
- NPI Number
- 1972817948
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 2, 2010 (15.851051673809 yrs)
- Last Updated
- Aug 11, 2010
- License
-
25725 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1501 HANDLEY DRFORT WORTH, TX, 761123328Browse TX providers · Browse ZIP 76112
- Phone
- 8174574141
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in FORT WORTH, TX
| Name | Credential | NPI |
|---|---|---|
| DR. CHARLES FORRER ANDERSON MCCLUER III | D.D.S. | 1497753339 |
| MR. RICHARD SCOTT MCDONALD | DDS | 1366434359 |
| MICHAEL R WARNER | DDS PHD | 1730154378 |
| DR. DARREL GENE VAUGHN | DDS | 1457327231 |
| ROBERT MATTHEW SOROKOLIT | D.D.S. | 1740243708 |
| DR. ROGER DALE METCALF SR. | DDS, JD | 1316960446 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.