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IKIDS PEDIATRIC DENTISTRY TYLER, PLLC
NPI 1699281782
Dentist - Pediatric Dentistry in Tyler, TX

Active since December 27, 2017
3607 OLD JACKSONVILLE RD, TYLER, TX 75701(903) 595-5476 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2021, Aug 15, 2018, Aug 2, 2018 and 1 more (4 updates tracked since 2017).

About Ikids Pediatric Dentistry Tyler, Pllc NPPES

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

IKIDS PEDIATRIC DENTISTRY TYLER, PLLC (NPI 1699281782) is a healthcare organization registered as a pediatric dentistry in Tyler, Texas and active in the NPI registry since December 2017. The organization lists Alyssa Aguilar, Director Of Revenue & Credentialing, as its authorized official.

NPPES Registry Identity

NPI1699281782
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameIKIDS PEDIATRIC DENTISTRY TYLER, PLLC
Location Address3607 OLD JACKSONVILLE RDTyler, TX 75701
Mailing Address2500 E Broad St Ste 204Mansfield, TX 76063-4361 · (817) 466-8554
Phone(903) 595-5476
Organization SubpartNo
Authorized OfficialAlyssa AguilarDirector Of Revenue & Credentialing · (817) 466-8554
Enumeration DateDecember 27, 2017
Last NPPES UpdateMarch 4, 20214 updates tracked since enumeration
NPPES CertifiedMarch 4, 2021
✔ NPI 1699281782 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.
3607 OLD JACKSONVILLE RD, Tyler, TX 75701
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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

Other Providers at the Same Location NPPES

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

PEDIATRIC DENTISTRY OF TYLER, PLLC
Dentist (Pediatric Dentistry)
3607 OLD JACKSONVILLE RD
TYLER, TX 75701
Smith County (903) 595-5476

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 Ikids Pediatric Dentistry Tyler, PLLC's NPI number?

The NPI number for Ikids Pediatric Dentistry Tyler, PLLC is 1699281782. It was assigned to this organization in the NPPES registry on December 27, 2017.

Where is Ikids Pediatric Dentistry Tyler, PLLC located?

Ikids Pediatric Dentistry Tyler, PLLC is located at 3607 Old Jacksonville Rd, Tyler, TX 75701. The listed phone number is (903) 595-5476.

What is Ikids Pediatric Dentistry Tyler, 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 Ikids Pediatric Dentistry Tyler, PLLC was last updated on March 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.