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CHILDREN'S DENTAL SERVICES OF TEXAS, PLLC
NPI 1699090100
Dentist - Pediatric Dentistry in Fort Worth, TX

Active since March 29, 2010
4545 BELLAIRE DR S STE 4, FORT WORTH, TX 76109(817) 731-8600(817) 207-0719 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 2, 2022, Oct 23, 2022 (2 updates tracked since 2022).

About Children's Dental Services Of Texas, Pllc NPPES

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

CHILDREN'S DENTAL SERVICES OF TEXAS, PLLC (NPI 1699090100) is a healthcare organization registered as a pediatric dentistry in Fort Worth, Texas and active in the NPI registry since March 2010. The organization lists Jason A Zimmerman, Owner, as its authorized official.

NPPES Registry Identity

NPI1699090100
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCHILDREN'S DENTAL SERVICES OF TEXAS, PLLC
Location Address4545 BELLAIRE DR S STE 4Fort Worth, TX 76109-1811
Mailing AddressPo Box 55367Hurst, TX 76054-5367 · (214) 533-8183
Phone(817) 731-8600
Fax(817) 207-0719
Organization SubpartNo
Authorized OfficialJason A ZimmermanOwner · (817) 731-8600
Enumeration DateMarch 29, 2010
Last NPPES UpdateNovember 2, 20222 updates tracked since enumeration
NPPES CertifiedNovember 2, 2022
✔ NPI 1699090100 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 · 20465
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.
4545 BELLAIRE DR S STE 4, Fort Worth, TX 76109
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Other Identifiers 1

Medicaid210915901TX

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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

Other Providers at the Same Location NPPES

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

DR. JASON A ZIMMERMAN D.D.S., M.S.
Dentist (Pediatric Dentistry)
4545 BELLAIRE DR S STE 4
FORT WORTH, TX 76109
Tarrant County (214) 533-8183

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 Children's Dental Services Of Texas, PLLC's NPI number?

The NPI number for Children's Dental Services Of Texas, PLLC is 1699090100. It was assigned to this organization in the NPPES registry on March 29, 2010.

Where is Children's Dental Services Of Texas, PLLC located?

Children's Dental Services Of Texas, PLLC is located at 4545 Bellaire Dr S Ste 4, Fort Worth, TX 76109. The listed phone number is (817) 731-8600.

What is Children's Dental Services Of Texas, PLLC'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 Children's Dental Services Of Texas, PLLC was last updated on November 2, 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.