Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982220562 Individual Practitioner Male Practitioner

Dr. Gunnar Anton Boelman , DMD

Dentist - General Practice • Fort Worth, TX

Professional Overview & Biography Verified Profile Summary

Dr. Gunnar Boelman, DMD is a registered healthcare professional specializing in Dentist - General Practice in Fort Worth, TX. Practice services are available at 3400 TEXAS SAGE TRL STE 136 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3400 Texas Sage Trl Ste 136

Fort Worth, TX 761778604

Telephone 8177501300
Associated Practice Facility / Clinic
🏢 Heritage Modern Dentistry, Pc Facility NPI 1811268600

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: 2020-06-19
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 36216

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

3 Associated Practitioners
Dr. Ji Lee , DDS

Dentist - General Practice

NPI 1235669920

Doctor of Dental Surgery

NPI 1659719045

Doctor of Dental Surgery

NPI 1689595944

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 19, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 19, 2020

Registered at 3400 TEXAS SAGE TRL STE 136, FORT WORTH, TX 761778604 (Tel: 8177501300)

📍
Updated Business Mailing Address June 19, 2020

Registered at 3205 SADIE TRL, FORT WORTH, TX 761376683 (Tel: 9095489979)

👤
Provider Name / Credentials Updated June 19, 2020

Recorded as GUNNAR BOELMAN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2020

Dentist (License #36216 in TX)

🟢
Initial NPI Registration & Enumeration June 19, 2020

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: 1982220562
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2020
Last Update: June 19, 2020
Sole Proprietor: Yes

Mailing Address

3205 Sadie Trl

Fort Worth, TX 761376683

Phone: 9095489979

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.