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Active NPI 1750539490 Individual Practitioner Male Practitioner

Dr. Krishna Prasad Colluru , DDS

Dentist - General Practice • Fort Worth, TX

Professional Overview & Biography Verified Profile Summary

Dr. Krishna Colluru, DDS is a registered healthcare professional specializing in Dentist - General Practice in Fort Worth, TX. Practice services are available at 3900 N TARRANT PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3900 N Tarrant Pkwy
100

Fort Worth, TX 762445410

Telephone 8173799091
Associated Practice Facility / Clinic

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 24625

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

6 Historical Events
NPI Profile Active December 21, 2016

NPI status registered as active in NPPES database

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Updated Practice Location December 21, 2016

Registered at 3900 N TARRANT PKWY, 100, FORT WORTH, TX 762445410 (Tel: 8173799091)

📍
Updated Business Mailing Address December 21, 2016

Registered at 3900 N TARRANT PKWY, 100, FORT WORTH, TX 762445410 (Tel: 8173799091)

👤
Provider Name / Credentials Updated December 21, 2016

Recorded as KRISHNA COLLURU, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2016

Dentist (License #24625 in TX)

🟢
Initial NPI Registration & Enumeration September 07, 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: 1750539490
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2008
Last Update: December 21, 2016
Sole Proprietor: No

Mailing Address

3900 N Tarrant Pkwy, 100

Fort Worth, TX 762445410

Phone: 8173799091

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.