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IKIDS PEDIATRIC DENTISTRY BURLESON, PLLC
NPI 1063755437
Dentist - Pediatric Dentistry in Burleson, TX

Active since April 03, 2013
1009 SW ALSBURY BLVD, BURLESON, TX 76028(817) 295-1144(817) 295-2244 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 4, 2021, Aug 15, 2018 (2 updates tracked since 2018).

About Ikids Pediatric Dentistry Burleson, Pllc NPPES

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

IKIDS PEDIATRIC DENTISTRY BURLESON, PLLC (NPI 1063755437) is a healthcare organization registered as a pediatric dentistry in Burleson, Texas and active in the NPI registry since April 2013. The organization lists Alyssa Aguilar, Director Of Revenue & Credentialing, as its authorized official.

NPPES Registry Identity

NPI1063755437
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameIKIDS PEDIATRIC DENTISTRY BURLESON, PLLC
Location Address1009 SW ALSBURY BLVDBurleson, TX 76028
Mailing Address2500 E Broad St Ste 204Mansfield, TX 76063-4361 · (817) 466-8554
Phone(817) 295-1144
Fax(817) 295-2244
Organization SubpartNo
Authorized OfficialAlyssa AguilarDirector Of Revenue & Credentialing · (817) 466-8554
Enumeration DateApril 3, 2013
Last NPPES UpdateMarch 4, 20212 updates tracked since enumeration
NPPES CertifiedMarch 4, 2021
✔ NPI 1063755437 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 · 24272
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.
1009 SW ALSBURY BLVD, Burleson, TX 76028
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Ikids Pediatric Dentistry Burleson, PLLC's NPI number?

The NPI number for Ikids Pediatric Dentistry Burleson, PLLC is 1063755437. It was assigned to this organization in the NPPES registry on April 3, 2013.

Where is Ikids Pediatric Dentistry Burleson, PLLC located?

Ikids Pediatric Dentistry Burleson, PLLC is located at 1009 SW Alsbury Blvd, Burleson, TX 76028. The listed phone number is (817) 295-1144.

What is Ikids Pediatric Dentistry Burleson, PLLC'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 Ikids Pediatric Dentistry Burleson, PLLC was last updated on March 4, 2021. 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.