PEDIATRIC DENTISTRY OF TEXARKANA
NPI 1306131784
Dentist - Pediatric Dentistry in Texarkana, TX

Active since June 14, 2011
5301 COWHORN CREEK ROAD, TEXARKANA, TX 75503(901) 833-1141 Get Directions Write a Review

NPPES record last updated: June 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Dentistry Of Texarkana NPPES

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

PEDIATRIC DENTISTRY OF TEXARKANA (NPI 1306131784) is a healthcare organization registered as a pediatric dentistry in Texarkana, Texas and active in the NPI registry since June 2011. The organization lists David M Glass, Dentist, as its authorized official.

NPPES Registry Identity

NPI1306131784
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTISTRY OF TEXARKANA PLLC
Location Address5301 COWHORN CREEK ROADTexarkana, TX 75503
Mailing Address5301 Cowhorn Creek RoadTexarkana, TX 75503 · (901) 833-1141
Organization SubpartNo
Authorized OfficialDavid M GlassDentist · (901) 833-1141
Enumeration DateJune 14, 2011
NPI 1306131784 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 · 26442
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.
5301 COWHORN CREEK ROAD, Texarkana, TX 75503

Other Names 1

Doing Business AsPediatric Dentistry Of Texarkana

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

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

Dentist (Pediatric Dentistry)
5301 COWHORN CREEK ROAD
TEXARKANA, TX 75503

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 Texarkana PLLC's NPI number?

The NPI number for Pediatric Dentistry Of Texarkana PLLC is 1306131784. It was assigned to this organization in the NPPES registry on June 14, 2011. The provider is doing business as Pediatric Dentistry Of Texarkana.

Where is Pediatric Dentistry Of Texarkana PLLC located?

Pediatric Dentistry Of Texarkana PLLC is located at 5301 Cowhorn Creek Road, Texarkana, TX 75503. The listed phone number is (901) 833-1141.

What is Pediatric Dentistry Of Texarkana 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 Pediatric Dentistry Of Texarkana PLLC was last updated on June 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.