PEDIATRIC DENTAL ASSOCIATES, LLP NPI 1003031527

Dentist (Pediatric Dentistry) in Longview, TX

NPI 1003031527 Organization Dentist Pediatric Dentistry

About PEDIATRIC DENTAL ASSOCIATES, LLP

Pediatric Dental Associates, Llp is a provider established in Longview, Texas specializing in dentist (pediatric dentistry) . The NPI number of Pediatric Dental Associates, Llp is 1003031527 and was assigned on April 2007. The practitioner's primary taxonomy code is 1223P0221X with license number 18784 (TX). The provider is registered as an organization and their NPI record was last updated one year ago. Pediatric Dental Associates, Llp operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Jason R Horne D.d.s (Owner)

A dentist like Pediatric Dental Associates, Llp is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

NPI

1003031527

Provider NamePEDIATRIC DENTAL ASSOCIATES, LLP
Provider Location Address5 DOCTOR CIR LONGVIEW, TX 75605
Provider Mailing Address5 DOCTOR CIR LONGVIEW, TX 75605
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date04-17-2007
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code1223P0221X
ClassificationDentist
TypeDental Providers
SpecializationPediatric Dentistry
License No.18784
License StateTX
Taxonomy DescriptionAn 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.

Business Address

PEDIATRIC DENTAL ASSOCIATES, LLP
5 DOCTOR CIR
LONGVIEW, TX
ZIP 75605
Phone: (903) 758-6406
Fax: (903) 758-8116

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Mailing Address

PEDIATRIC DENTAL ASSOCIATES, LLP
5 DOCTOR CIR
LONGVIEW, TX
ZIP 75605
Phone: (903) 758-6406
Fax: (903) 758-8116



Authorized Official

Authorized Official NameDR. JASON R HORNE D.D.S
Authorized Official TitleOWNER
Authorized Official Phone(903) 758-6406

Group Taxonomy


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

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
11223P0221XDental ProvidersDentistPediatric Dentistry20796TXNo

Taxonomy Description: 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.

21223P0221XDental ProvidersDentistPediatric Dentistry13954TXNo

Taxonomy Description: 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.

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023163524DR. JUSTIN RAY HORNE D.D.S.
Individual
Dentist (Pediatric Dentistry)5 DOCTOR CIR
LONGVIEW, TX 75605
(903) 758-6406
1982759379DR. RONALD NELSON FADAL D.D.S.
Individual
Dentist (Pediatric Dentistry)5 DOCTOR CIR
LONGVIEW, TX 75605
(903) 758-6406
1306981170 JENNIFER ANN ROGERS D.D.S.
Individual
Dentist (General Practice)5 DOCTOR CIR
LONGVIEW, TX 75605
(903) 758-6406
1104951284DR. PHILIP JOHN THOMAS D.D.S.
Individual
Dentist (Pediatric Dentistry)5 DOCTOR CIR
LONGVIEW, TX 75605
(903) 758-6406
1528476348HORNE & MINER PEDIATRIC DENTRISTY, LLP
Organization
Dentist (Pediatric Dentistry)5 DOCTOR CIR
LONGVIEW, TX 75605
(903) 758-6406
1194129627FADAL PEDIATRIC DENTISTRY, PA
Organization
Dentist (Pediatric Dentistry)5 DOCTOR CIR
LONGVIEW, TX 75605
(903) 758-6406

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.