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SHINE PEDIATRIC DENTAL CO.
NPI 1548977895
Dentist - Pediatric Dentistry in Round Rock, TX

Active since November 04, 2022
2631 GATTIS SCHOOL RD, ROUND ROCK, TX 78664(512) 698-8766 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shine Pediatric Dental Co. NPPES

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

SHINE PEDIATRIC DENTAL CO. (NPI 1548977895) is a healthcare organization registered as a pediatric dentistry in Round Rock, Texas and active in the NPI registry since November 2022. The organization lists Sarah Severson, Owner, as its authorized official.

NPPES Registry Identity

NPI1548977895
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSHINE PEDIATRIC DENTAL CO.
Location Address2631 GATTIS SCHOOL RDRound Rock, TX 78664-2821
Mailing Address608 Twelve Oaks LnAustin, TX 78704-6355
Phone(512) 698-8766
Organization SubpartNo
Authorized OfficialSarah SeversonOwner · (512) 698-8766
Enumeration DateNovember 4, 2022
NPPES CertifiedNovember 4, 2022
✔ NPI 1548977895 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.
2631 GATTIS SCHOOL RD, Round Rock, TX 78664
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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 UnitedHealthcare.Insurance ›

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.

CHERYL HICKS MOOREHEAD LMFT-ASSOCIATE
Marriage & Family Therapist
2631 GATTIS SCHOOL RD
ROUND ROCK, TX 78664
Williamson County (229) 444-1750
PASSPORT HEALTH HOLDINGS, LLC
Community Health Worker
2631 GATTIS SCHOOL RD, #125
ROUND ROCK, TX 78664
Williamson County (844) 358-8648
TAYLOR KING
Marriage & Family Therapist
2631 GATTIS SCHOOL RD
ROUND ROCK, TX 78664
Williamson County (512) 298-1324
ANDREA LYNN JOBES LMSW
Social Worker (Clinical)
2631 GATTIS SCHOOL RD
ROUND ROCK, TX 78664
Williamson County (512) 298-1324

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 Shine Pediatric Dental Co.'s NPI number?

The NPI number for Shine Pediatric Dental Co. is 1548977895. It was assigned to this organization in the NPPES registry on November 4, 2022.

Where is Shine Pediatric Dental Co. located?

Shine Pediatric Dental Co. is located at 2631 Gattis School Rd, Round Rock, TX 78664. The listed phone number is (512) 698-8766.

What is Shine Pediatric Dental Co.'s specialty?

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

What insurance does Shine Pediatric Dental Co. accept?

Health plans from UnitedHealthcare list Shine Pediatric Dental Co. 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 Shine Pediatric Dental Co. was last updated on November 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.