LONE STAR PEDIATRIC DENTAL
NPI 1679975932
Dentist - Pediatric Dentistry in Kyle, TX

Active since September 18, 2014
575 E FM 150, SUITE P, KYLE, TX 78640(512) 442-4338 Get Directions Write a Review

NPPES record last updated: September 18, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lone Star Pediatric Dental NPPES

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

LONE STAR PEDIATRIC DENTAL (NPI 1679975932) is a healthcare organization registered as a pediatric dentistry in Kyle, Texas and active in the NPI registry since September 2014. The organization lists Marty Montgomery, President, as its authorized official.

NPPES Registry Identity

NPI1679975932
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameKYLE PEDIATRIC DENTAL
Location Address575 E FM 150, SUITE PKyle, TX 78640-6200
Mailing Address2700 S 1st StAustin, TX 78704-5421 · (512) 442-4338
Organization SubpartNo
Authorized OfficialMarty MontgomeryPresident · (512) 574-6923
Enumeration DateSeptember 18, 2014
NPI 1679975932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in TX · 24217
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.
575 E FM 150, Kyle, TX 78640

Other Names 1

Doing Business AsLone Star Pediatric Dental

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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
575 E FM 150
KYLE, TX 78640

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 Kyle Pediatric Dental's NPI number?

The NPI number for Kyle Pediatric Dental is 1679975932. It was assigned to this organization in the NPPES registry on September 18, 2014. The provider is doing business as Lone Star Pediatric Dental.

Where is Kyle Pediatric Dental located?

Kyle Pediatric Dental is located at 575 E Fm 150 Suite P, Kyle, TX 78640. The listed phone number is (512) 442-4338.

What is Kyle Pediatric Dental'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 Kyle Pediatric Dental was last updated on September 18, 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.