Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144479601 Individual Practitioner Female Practitioner

Dr. Vidya Sri Suri , DDS

Dentist - General Practice • Fort Worth, TX

Professional Overview & Biography Verified Profile Summary

Dr. Vidya Sri Suri, DDS is a registered healthcare professional specializing in Dentist - General Practice in Fort Worth, TX. Practice services are available at 1900 W EVERMAN PARKWAY #130 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1900 W Everman Parkway #130

Fort Worth, TX 76134

Telephone 8172933300
Associated Practice Facility / Clinic
🏢 Sycamore Dental Facility NPI 1154869717

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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 24367

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License CA 57370

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.

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active May 09, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 09, 2017

Registered at 1900 W EVERMAN PARKWAY #130, FORT WORTH, TX 76134 (Tel: 8172933300)

📍
Updated Business Mailing Address May 09, 2017

Registered at 663 CREEKWAY DR, IRVING, TX 75039 (Tel: 9729109136)

👤
Provider Name / Credentials Updated May 09, 2017

Recorded as VIDYA SRI SURI, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2017

Dentist (License #24367 in TX)

NPI Profile Active February 07, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 07, 2014

Registered at 6521 DUCK CREEK DR, GARLAND, TX 750433644 (Tel: 2147036900)

📍
Updated Business Mailing Address February 07, 2014

Registered at 8616 OAK VALLEY, IRVING, TX 75063 (Tel: 9729109136)

👤
Provider Name / Credentials Updated February 07, 2014

Recorded as VIDYA SRI SURI, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2014

Dentist (License #24367 in TX)

🟢
Initial NPI Registration & Enumeration September 09, 2008

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: 1144479601
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 09, 2008
Last Update: May 09, 2017
Sole Proprietor: No

Mailing Address

663 Creekway Dr

Irving, TX 75039

Phone: 9729109136

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.