Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043915192 Individual Practitioner Female Practitioner

Dr. Stephanie Liem , DDS

Dentist - General Practice • Fort Worth, TX

Professional Overview & Biography Verified Profile Summary

Dr. Stephanie Liem, DDS is a registered healthcare professional specializing in Dentist - General Practice in Fort Worth, TX. Practice services are available at 12420 TIMBERLAND BLVD STE 416 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12420 Timberland Blvd Ste 416

Fort Worth, TX 762445230

Telephone 8177995948

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fort Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
289 Specialists

Practicing in Fort Worth, TX (10570 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-22
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 40447

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

3302 Gaston Ave

Dallas, TX 752462013

Phone: 2148288215

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

MANIJEHD'AMELIO

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 22, 2024

Registered at 12420 TIMBERLAND BLVD STE 416, FORT WORTH, TX 762445230 (Tel: 8177995948)

📍
Updated Business Mailing Address June 22, 2024

Registered at 1711 NELSON DR, IRVING, TX 750385963 (Tel: 4695797891)

👤
Provider Name / Credentials Updated June 22, 2024

Recorded as STEPHANIE LIEM, DDS

NPI Profile Active March 30, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 30, 2023

Registered at 3302 GASTON AVE, DALLAS, TX 752462013 (Tel: 2148288215)

📍
Updated Business Mailing Address March 30, 2023

Registered at 3302 GASTON AVE, DALLAS, TX 752462013 (Tel: 2148288215)

👤
Provider Name / Credentials Updated March 30, 2023

Recorded as STEPHANIE LIEM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 30, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043915192
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2023
Last Update: June 22, 2024
Sole Proprietor: No

Mailing Address

1711 Nelson Dr

Irving, TX 750385963

Phone: 4695797891

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.