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Active NPI 1700516705 Individual Practitioner Male Practitioner

Dr. Mike Mooyul Leem , DDS

Dentist - General Practice • Fort Worth, TX

Professional Overview & Biography Verified Profile Summary

Dr. Mike Leem, DDS is a registered healthcare professional specializing in Dentist - General Practice in Fort Worth, TX. Practice services are available at 6000 CAMP BOWIE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6000 Camp Bowie Blvd

Fort Worth, TX 761165606

Telephone 8175852492
Associated Practice Facility / Clinic
🏢 Soumava Sen, Dds, P.c. Facility NPI 1992051346

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: 2022-06-13
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 38532

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Swati Mittal , DDS

Dentist - General Practice

NPI 1073964763

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active June 13, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 13, 2022

Registered at 6000 CAMP BOWIE BLVD, FORT WORTH, TX 761165606 (Tel: 8175852492)

📍
Updated Business Mailing Address June 13, 2022

Registered at 6500 LIPIZZAN DR, DENTON, TX 762100547 (Tel: 4692123017)

👤
Provider Name / Credentials Updated June 13, 2022

Recorded as MIKE LEEM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2022

Dentist (License #38532 in TX)

🟢
Initial NPI Registration & Enumeration June 13, 2022

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: 1700516705
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2022
Last Update: June 13, 2022
Sole Proprietor: No
Update or Correct Profile

Mailing Address

6500 Lipizzan Dr

Denton, TX 762100547

Phone: 4692123017

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.