FUN DENTIST-SOUTH
NPI 1023126786
Dentist - Pediatric Dentistry in Arlington, TX

Active since August 25, 2006
4220 LITTLE ROAD, ARLINGTON, TX 76016(817) 478-2300(817) 478-4904 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 30, 2023, Oct 27, 2022, Jan 28, 2022 and 1 more (4 updates tracked since 2020).

About Fun Dentist-south NPPES

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

FUN DENTIST-SOUTH (NPI 1023126786) is a healthcare organization registered as a pediatric dentistry in Arlington, Texas and active in the NPI registry since August 2006. The organization lists Charles W Miller, Owner, as its authorized official.

NPPES Registry Identity

NPI1023126786
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTISTRY ARLINGTON SOUTH, PLLC
Location Address4220 LITTLE ROADArlington, TX 76016
Mailing Address4220 Little RoadArlington, TX 76016 · (817) 478-2300 · Fax (817) 478-4904
Fax(817) 478-4904
Organization SubpartNo
Authorized OfficialCharles W MillerOwner · (817) 478-2300
Enumeration DateAugust 25, 2006
Last NPPES UpdateJanuary 30, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2023
NPI 1023126786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses Licensed in TX · 9223 Licensed in TX · 9178 Licensed in TX · 12597
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.
4220 LITTLE ROAD, Arlington, TX 76016

Other Names 1

Doing Business AsFun Dentist-south

Other Identifiers 1

Medicaid285834201TX

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
4220 LITTLE ROAD
ARLINGTON, TX 76016

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 Pediatric Dentistry Arlington South, PLLC's NPI number?

The NPI number for Pediatric Dentistry Arlington South, PLLC is 1023126786. It was assigned to this organization in the NPPES registry on August 25, 2006. The provider is doing business as Fun Dentist-South.

Where is Pediatric Dentistry Arlington South, PLLC located?

Pediatric Dentistry Arlington South, PLLC is located at 4220 Little Road, Arlington, TX 76016. The listed phone number is (817) 478-2300.

What is Pediatric Dentistry Arlington South, PLLC's specialty?

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

What insurance does Pediatric Dentistry Arlington South, PLLC accept?

Health plans from UnitedHealthcare list Pediatric Dentistry Arlington South, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Dentistry Arlington South, PLLC was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.