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PEDIATRIC DENTISTRY OF COLLEYVILLE, P.A.
NPI 1366708760
Clinic/Center - Dental in Colleyville, TX

Active since April 10, 2012
4109 BROWN TRL, SUITE 102, COLLEYVILLE, TX 76034(817) 428-7704(817) 428-8919 Get Directions Write a Review

NPPES record last updated: April 10, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Pediatric Dentistry Of Colleyville, P.a. NPPES

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

PEDIATRIC DENTISTRY OF COLLEYVILLE, P.A. (NPI 1366708760) is a healthcare organization registered as a dental in Colleyville, Texas and active in the NPI registry since April 2012. The organization lists Loria Guiatas Nahatis, Owner / Dentist, as its authorized official.

NPPES Registry Identity

NPI1366708760
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePEDIATRIC DENTISTRY OF COLLEYVILLE, P.A.
Location Address4109 BROWN TRL, SUITE 102Colleyville, TX 76034-3998
Mailing Address4109 Brown Trl, Suite 102Colleyville, TX 76034-3998 · (817) 428-7704 · Fax (817) 428-8919
Phone(817) 428-7704
Fax(817) 428-8919
Organization SubpartNo
Authorized OfficialLoria Guiatas NahatisOwner / Dentist · (817) 428-7704
Enumeration DateApril 10, 2012
✔ NPI 1366708760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in TX · 21802
4109 BROWN TRL, Colleyville, TX 76034
Open in Google Maps ↗

Other Identifiers 4

Other21802TX · Dental License
Other1619010972TX · Individual Npi
Other18278TX · Dental License
Other1629026430TX · Individual Npi

Other Providers at the Same Location NPPES 4

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

TUONG TRAN TA DDS
Dentist (Pediatric Dentistry)
4109 BROWN TRL, SUITE 102
COLLEYVILLE, TX 76034
Tarrant County (817) 428-7704
DR. LORIA GUIATAS NAHATIS D.D.S
Dentist (Pediatric Dentistry)
4109 BROWN TRL, SUITE 102
COLLEYVILLE, TX 76034
Tarrant County (817) 428-7704
DR. KATHLEEN PACE D.D.S.
Dentist (Pediatric Dentistry)
4109 BROWN TRL, SUITE 102
COLLEYVILLE, TX 76034
Tarrant County (817) 428-7704
KATHLEEN PACE D.D.S., P.C.
Dentist (Pediatric Dentistry)
4109 BROWN TRL, SUITE 102
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, P.A.'s NPI number?

The NPI number for Pediatric Dentistry Of Colleyville, P.A. is 1366708760. It was assigned to this organization in the NPPES registry on April 10, 2012.

Where is Pediatric Dentistry Of Colleyville, P.A. located?

Pediatric Dentistry Of Colleyville, P.A. is located at 4109 Brown Trl Suite 102, Colleyville, TX 76034. The listed phone number is (817) 428-7704.

What is Pediatric Dentistry Of Colleyville, P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Pediatric Dentistry Of Colleyville, P.A. was last updated on April 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.