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PEDIATRIC DENTRISTRY OF MANSFIELD,PLLC
NPI 1508133224
Dentist - Pediatric Dentistry in Mansfield, TX

Active since November 23, 2011
1830 E BROAD ST, STE104, MANSFIELD, TX 76063(817) 473-7171(817) 473-2594 Get Directions Write a Review

NPPES record last updated: December 30, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Dentristry Of Mansfield,pllc NPPES

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

PEDIATRIC DENTRISTRY OF MANSFIELD,PLLC (NPI 1508133224) is a healthcare organization registered as a pediatric dentistry in Mansfield, Texas and active in the NPI registry since November 2011. The organization lists Deborah C. Sullivan, Owner, as its authorized official.

NPPES Registry Identity

NPI1508133224
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTRISTRY OF MANSFIELD,PLLC
Location Address1830 E BROAD ST, STE104Mansfield, TX 76063-9162
Mailing Address1830 E Broad St Ste 104Mansfield, TX 76063-9161 · (817) 473-7171 · Fax (817) 473-2594
Phone(817) 473-7171
Fax(817) 473-2594
Organization SubpartNo
Authorized OfficialDeborah C. SullivanOwner · (817) 473-7171
Enumeration DateNovember 23, 2011
Last NPPES UpdateDecember 30, 2014
✔ NPI 1508133224 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.
1830 E BROAD ST, Mansfield, TX 76063
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 Dentristry Of Mansfield,pllc's NPI number?

The NPI number for Pediatric Dentristry Of Mansfield,pllc is 1508133224. It was assigned to this organization in the NPPES registry on November 23, 2011.

Where is Pediatric Dentristry Of Mansfield,pllc located?

Pediatric Dentristry Of Mansfield,pllc is located at 1830 E Broad St Ste104, Mansfield, TX 76063. The listed phone number is (817) 473-7171.

What is Pediatric Dentristry Of Mansfield,pllc's specialty?

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

What insurance does Pediatric Dentristry Of Mansfield,pllc accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 1 other insurer list Pediatric Dentristry Of Mansfield,pllc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Dentristry Of Mansfield,pllc was last updated on December 30, 2014. 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.