Provider Demographics
NPI:1770467037
Name:STIR DENTAL GROUP PLLC
Entity type:Organization
Organization Name:STIR DENTAL GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHAZIL
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYAT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:817-808-4743
Mailing Address - Street 1:236 CHATEAU AVE
Mailing Address - Street 2:
Mailing Address - City:KENNEDALE
Mailing Address - State:TX
Mailing Address - Zip Code:76060-2108
Mailing Address - Country:US
Mailing Address - Phone:817-808-4743
Mailing Address - Fax:
Practice Address - Street 1:845 N FM 548 STE 150
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-7004
Practice Address - Country:US
Practice Address - Phone:972-200-1190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental