PEDIATRIC PLASTIC SURGERY, PLLC - NPI 1558419358

Q: What is the provider's specialty?

The provider's specialty is Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.

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About Pediatric Plastic Surgery, Pllc NPPES

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

PEDIATRIC PLASTIC SURGERY, PLLC (NPI 1558419358) is a healthcare organization registered as a plastic and reconstructive surgery in Dallas, Texas and active in the NPI registry since January 2007. The organization lists Juli A Smiddy, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1558419358

Entity TypeOrganization

Primary Taxonomy2086S0122X

Legal Business NamePEDIATRIC PLASTIC SURGERY, PLLC

Location Address7777 FOREST LN STE C528Dallas, TX 75230-6848

Mailing Address7777 Forest Ln Ste C528Dallas, TX 75230-6848 · (972) 331-7711 · Fax (972) 331-1911

Phone(972) 331-7711

Fax(972) 331-1911

Organization SubpartNo

Authorized OfficialJuli A SmiddyPractice Administrator · (972) 331-7711

Enumeration DateJanuary 8, 2007

Last NPPES UpdateApril 16, 20212 updates tracked since enumeration

NPPES CertifiedApril 16, 2021

✔ NPI 1558419358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

Definition

A surgeon who specializes in plastic and reconstructive surgery.

7777 FOREST LN STE C528, Dallas, TX 75230

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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 ›