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WACO DENTAL AND ORTHODONTICS, PLLC
NPI 1114699089
Dentist - General Practice in Waco, TX

Active since September 29, 2021
5201 BOSQUE BLVD STE 200, WACO, TX 76710(817) 529-8151(817) 928-1681 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Waco Dental And Orthodontics, Pllc NPPES

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

WACO DENTAL AND ORTHODONTICS, PLLC (NPI 1114699089), doing business as Rodeo Dental And Orthodontics, is a healthcare organization registered as a general practice in Waco, Texas and active in the NPI registry since September 2021. The organization lists Raffy Kouyoumdjian, Owner, as its authorized official.

NPPES Registry Identity

NPI1114699089
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWACO DENTAL AND ORTHODONTICS, PLLC
Location Address5201 BOSQUE BLVD STE 200Waco, TX 76710-4676
Mailing Address8505 Freeport Pkwy Ste 600Irving, TX 75063-2549 · (817) 529-8151 · Fax (817) 928-1681
Phone(817) 529-8151
Fax(817) 928-1681
Organization SubpartNo
Authorized OfficialRaffy KouyoumdjianOwner · (818) 653-9799
Enumeration DateSeptember 29, 2021
Last NPPES UpdateOctober 3, 2025
NPPES CertifiedOctober 3, 2025
✔ NPI 1114699089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

5201 BOSQUE BLVD STE 200, Waco, TX 76710
Open in Google Maps ↗

Other Names 1

Doing Business AsRodeo Dental And Orthodontics

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include DentaQuest USA Insurance Company, Inc..Insurance ›

Other Providers at the Same Location NPPES 3

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

CHANDANA NAMBURI
Student in an Organized Health Care Education/Training Program
5201 BOSQUE BLVD STE 200
WACO, TX 76710
McLennan County (254) 261-6363
ABBIGAYLE NICHOLE DUNLAVY SMITH
Dentist
5201 BOSQUE BLVD STE 200
WACO, TX 76710
McLennan County (254) 261-6363
LUCAS MARZULLO MENDES DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
5201 BOSQUE BLVD STE 200
WACO, TX 76710
McLennan County (254) 261-6363

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 Waco Dental And Orthodontics, PLLC's NPI number?

The NPI number for Waco Dental And Orthodontics, PLLC is 1114699089. It was assigned to this organization in the NPPES registry on September 29, 2021. The provider is doing business as Rodeo Dental And Orthodontics.

Where is Waco Dental And Orthodontics, PLLC located?

Waco Dental And Orthodontics, PLLC is located at 5201 Bosque Blvd Ste 200, Waco, TX 76710. The listed phone number is (817) 529-8151.

What is Waco Dental And Orthodontics, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Waco Dental And Orthodontics, PLLC accept?

Health plans from DentaQuest USA Insurance Company, Inc. list Waco Dental And Orthodontics, 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 Waco Dental And Orthodontics, PLLC was last updated on October 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.