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NACOGDOCHES PEDIATRIC DENTISTRY
NPI 1407234248
Dentist - Pediatric Dentistry in Nacogdoches, TX

Active since May 13, 2015
1602 E STARR AVE, SUITE 203, NACOGDOCHES, TX 75961(936) 559-7200 Get Directions Write a Review

NPPES record last updated: May 13, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nacogdoches Pediatric Dentistry NPPES

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

NACOGDOCHES PEDIATRIC DENTISTRY (NPI 1407234248) is a healthcare organization registered as a pediatric dentistry in Nacogdoches, Texas and active in the NPI registry since May 2015. The organization lists Jennfier Criss, President, as its authorized official.

NPPES Registry Identity

NPI1407234248
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameJENNIFER CRISS, DDS,PA
Location Address1602 E STARR AVE, SUITE 203Nacogdoches, TX 75961-4312
Mailing Address1602 E Starr Ave, Suite 203Nacogdoches, TX 75961-4312 · (936) 559-7200
Phone(936) 559-7200
Organization SubpartNo
Authorized OfficialJennfier CrissPresident · (936) 559-7200
Enumeration DateMay 13, 2015
✔ NPI 1407234248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in TX · 21417
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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 21417 (TX)
1602 E STARR AVE, Nacogdoches, TX 75961
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Other Names 1

Doing Business AsNacogdoches Pediatric Dentistry

Other Identifiers 1

Medicaid16283102TX

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

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.

DR. STEPHEN JOSEPH KIESEL D.D.S.
Dentist (General Practice)
1602 E STARR AVE, SUITE C
NACOGDOCHES, TX 75961
Nacogdoches County (936) 560-2551
DR. DEBRA L WHITE D.C.
Chiropractor
1602 E STARR AVE, 201
NACOGDOCHES, TX 75961
Nacogdoches County (936) 559-1346
DR. JENNIFER CRISS DDS
Dentist (Pediatric Dentistry)
1602 E STARR AVE, SUITE 203
NACOGDOCHES, TX 75961
Nacogdoches County (936) 559-7200

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 Jennifer Criss, Dds,pa's NPI number?

The NPI number for Jennifer Criss, Dds,pa is 1407234248. It was assigned to this organization in the NPPES registry on May 13, 2015. The provider is doing business as Nacogdoches Pediatric Dentistry.

Where is Jennifer Criss, Dds,pa located?

Jennifer Criss, Dds,pa is located at 1602 E Starr Ave Suite 203, Nacogdoches, TX 75961. The listed phone number is (936) 559-7200.

What is Jennifer Criss, Dds,pa'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 Jennifer Criss, Dds,pa was last updated on May 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.