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PEDIATRIC DENTISTRY OF COLLEYVILLE
NPI 1134950355
Dentist - Pediatric Dentistry in Colleyville, TX

Active since August 09, 2024
33 MAIN ST STE 120, COLLEYVILLE, TX 76034(817) 428-7704 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pediatric Dentistry Of Colleyville NPPES

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

PEDIATRIC DENTISTRY OF COLLEYVILLE (NPI 1134950355), doing business as Pediatric Dentistry Of Colleyville, Pllc, is a healthcare organization registered as a pediatric dentistry in Colleyville, Texas and active in the NPI registry since August 2024. The organization lists Dana Doan, Owner, as its authorized official.

NPPES Registry Identity

NPI1134950355
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTISTRY OF COLLEYVILLE
Location Address33 MAIN ST STE 120Colleyville, TX 76034-2981
Mailing Address2012 Cheyenne Park LnSouthlake, TX 76092-3845
Phone(817) 428-7704
Organization SubpartNo
Authorized OfficialDana DoanOwner · (832) 386-5992
Enumeration DateAugust 9, 2024
NPPES CertifiedAugust 9, 2024
✔ NPI 1134950355 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.
33 MAIN ST STE 120, Colleyville, TX 76034
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Other Names 1

Former Legal Business NamePediatric Dentistry Of Colleyville, Pllc

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

Other Providers at the Same Location NPPES 2

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

PARIS WEBB--EVANS DDS
Dentist (Pediatric Dentistry)
33 MAIN ST STE 120
COLLEYVILLE, TX 76034
Tarrant County (817) 428-7704
JOURDAN DO NGUYEN DDS
Dentist (Pediatric Dentistry)
33 MAIN ST STE 120
COLLEYVILLE, TX 76034
Tarrant County (817) 428-7704

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 Of Colleyville's NPI number?

The NPI number for Pediatric Dentistry Of Colleyville is 1134950355. It was assigned to this organization in the NPPES registry on August 9, 2024. The provider was formerly known as Pediatric Dentistry of Colleyville, PLLC.

Where is Pediatric Dentistry Of Colleyville located?

Pediatric Dentistry Of Colleyville is located at 33 Main St Ste 120, Colleyville, TX 76034. The listed phone number is (817) 428-7704.

What is Pediatric Dentistry Of Colleyville'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 Pediatric Dentistry Of Colleyville was last updated on August 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.