AMARILLO PEDIATRIC DENTISTRY AND ORTHODONTICS, PLLC - NPI 1073614772

Q: What is Amarillo Pediatric Dentistry And Orthodontics, PLLC's specialty?

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

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About Amarillo Pediatric Dentistry And Orthodontics, Pllc NPPES

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

AMARILLO PEDIATRIC DENTISTRY AND ORTHODONTICS, PLLC (NPI 1073614772), doing business as Amarillo Pediatric Dentistry, is a healthcare organization registered as a pediatric dentistry in Amarillo, Texas and active in the NPI registry since September 2006. The organization lists Lynsey Harrison, Coo, as its authorized official.

NPPES Registry Identity

NPI1073614772

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameAMARILLO PEDIATRIC DENTISTRY AND ORTHODONTICS, PLLC

Location Address2300 WOLFLIN AVEAmarillo, TX 79109

Mailing Address2300 Wolflin AveAmarillo, TX 79109 · (806) 350-5437 · Fax (806) 350-5438

Phone(806) 398-2536

Fax(806) 350-5438

Organization SubpartNo

Authorized OfficialLynsey HarrisonCoo · (806) 350-5437

Enumeration DateSeptember 26, 2006

Last NPPES UpdateFebruary 20, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 20, 2025

✔ NPI 1073614772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

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.

Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X

2300 WOLFLIN AVE, Amarillo, TX 79109

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Other Names 1

Doing Business AsAmarillo Pediatric Dentistry

Other Identifiers 3

Medicaid200248890AOK

Medicaid177133901TX

Medicaid29824753NM

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

Other Providers at the Same Location NPPES 5

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

AMANDEEP K PENTLIA DDS

Dentist (Pediatric Dentistry)