CRE8TIVE PEDIATRIC DENTAL GROUP
NPI 1447883863
Dentist - Pediatric Dentistry in Dallas, TX

Q: What is Cre8tive Pediatric Dental Group's NPI number?

The NPI number for Cre8tive Pediatric Dental Group is 1447883863. It was assigned to this organization in the NPPES registry on February 13, 2020.

Q: What is Cre8tive Pediatric Dental Group's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since February 13, 2020

2201 FORT WORTH AVENUE, DALLAS, TX 75211(972) 544-7524 Get Directions Write a Review

NPPES record last updated: February 13, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Cre8tive Pediatric Dental Group NPPES

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

CRE8TIVE PEDIATRIC DENTAL GROUP (NPI 1447883863) is a healthcare organization registered as a pediatric dentistry in Dallas, Texas and active in the NPI registry since February 2020. The organization lists Jessica Marshall, Pediatric Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1447883863

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameCRE8TIVE PEDIATRIC DENTAL GROUP

Location Address2201 FORT WORTH AVENUEDallas, TX 75211

Mailing Address2787 N Houston St Apt 4002Dallas, TX 75219-5042 · (281) 935-8668

Phone(972) 544-7524

Organization SubpartNo

Authorized OfficialJessica MarshallPediatric Dentist/owner · (972) 544-7524

Enumeration DateFebruary 13, 2020

✔ NPI 1447883863 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.

2201 FORT WORTH AVENUE, Dallas, TX 75211

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Other Identifiers 1

Medicaid1841425394TX

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

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 Cre8tive Pediatric Dental Group's NPI number?

The NPI number for Cre8tive Pediatric Dental Group is 1447883863. It was assigned to this organization in the NPPES registry on February 13, 2020.

Where is Cre8tive Pediatric Dental Group located?

Cre8tive Pediatric Dental Group is located at 2201 Fort Worth Avenue, Dallas, TX 75211. The listed phone number is (972) 544-7524.

What is Cre8tive Pediatric Dental Group'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 Cre8tive Pediatric Dental Group was last updated on February 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.