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WILLIS PEDIATRIC DENTISTRY
NPI 1093695728
Dentist - Pediatric Dentistry in Willis, TX

Active since September 04, 2025
902 W MONTGOMERY ST STE A, WILLIS, TX 77378(412) 339-4441 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willis Pediatric Dentistry NPPES

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

WILLIS PEDIATRIC DENTISTRY (NPI 1093695728) is a healthcare organization registered as a pediatric dentistry in Willis, Texas and active in the NPI registry since September 2025. The organization lists Sumedha Sharma, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1093695728
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameWILLIS PEDIATRIC DENTISTRY
Location Address902 W MONTGOMERY ST STE AWillis, TX 77378-5608
Mailing Address34 Mosaic Point PlThe Woodlands, TX 77389-7599 · (412) 339-4441
Phone(412) 339-4441
Organization SubpartNo
Authorized OfficialSumedha SharmaPediatric Dentist · (412) 339-4441
Enumeration DateSeptember 4, 2025
Last NPPES UpdateSeptember 25, 2025
NPPES CertifiedSeptember 25, 2025
✔ NPI 1093695728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
902 W MONTGOMERY ST STE A, Willis, TX 77378
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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 Willis Pediatric Dentistry's NPI number?

The NPI number for Willis Pediatric Dentistry is 1093695728. It was assigned to this organization in the NPPES registry on September 4, 2025.

Where is Willis Pediatric Dentistry located?

Willis Pediatric Dentistry is located at 902 W Montgomery St Ste A, Willis, TX 77378. The listed phone number is (412) 339-4441.

What is Willis Pediatric Dentistry'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 Willis Pediatric Dentistry was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.