GREENVILLE PEDIATRIC DENTISTRY, P.A.
NPI 1003022930
Dentist - Pediatric Dentistry in Greenville, TX

Q: What is Greenville Pediatric Dentistry, P.A.'s NPI number?

The NPI number for Greenville Pediatric Dentistry, P.A. is 1003022930. It was assigned to this organization in the NPPES registry on May 15, 2007.

Q: What is Greenville Pediatric Dentistry, P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since May 15, 2007

3101 JOE RAMSEY BLVD E, SUITE 103A, GREENVILLE, TX 75401(903) 454-0771 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Greenville Pediatric Dentistry, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREENVILLE PEDIATRIC DENTISTRY, P.A. (NPI 1003022930) is a healthcare organization registered as a pediatric dentistry in Greenville, Texas and active in the NPI registry since May 2007. The organization lists Kathryn Ann Kreider, President, as its authorized official.

NPPES Registry Identity

NPI1003022930

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameGREENVILLE PEDIATRIC DENTISTRY, P.A.

Location Address3101 JOE RAMSEY BLVD E, SUITE 103AGreenville, TX 75401-7716

Mailing Address3101 Joe Ramsey Blvd E, Suite 103aGreenville, TX 75401-7716 · (903) 454-0771

Phone(903) 454-0771

Organization SubpartNo

Authorized OfficialKathryn Ann KreiderPresident · (903) 454-0771

Enumeration DateMay 15, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1003022930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in TX · 19282

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

3101 JOE RAMSEY BLVD E, Greenville, TX 75401

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Greenville Pediatric Dentistry, P.A.'s NPI number?

The NPI number for Greenville Pediatric Dentistry, P.A. is 1003022930. It was assigned to this organization in the NPPES registry on May 15, 2007.

Where is Greenville Pediatric Dentistry, P.A. located?

Greenville Pediatric Dentistry, P.A. is located at 3101 Joe Ramsey Blvd E Suite 103A, Greenville, TX 75401. The listed phone number is (903) 454-0771.

What is Greenville Pediatric Dentistry, P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Greenville Pediatric Dentistry, P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.