WACO GRINS PEDIATRIC DENTISTRY, PLLC
NPI 1720455306
Dentist - Pediatric Dentistry in Waco, TX

Active since August 30, 2015
1605 LAKE SUCCESS DR, WACO, TX 76710(254) 772-4184(254) 776-8391 Get Directions Write a Review

NPPES record last updated: August 30, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Waco Grins Pediatric Dentistry, Pllc NPPES

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

WACO GRINS PEDIATRIC DENTISTRY, PLLC (NPI 1720455306) is a healthcare organization registered as a pediatric dentistry in Waco, Texas and active in the NPI registry since August 2015. The organization lists Keith Rice, Dentist, as its authorized official.

NPPES Registry Identity

NPI1720455306
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameWACO GRINS PEDIATRIC DENTISTRY, PLLC
Location Address1605 LAKE SUCCESS DRWaco, TX 76710-2908
Mailing Address1605 Lake Success DrWaco, TX 76710-2908 · (254) 772-4184 · Fax (254) 776-8391
Fax(254) 776-8391
Organization SubpartNo
Authorized OfficialKeith RiceDentist · (254) 772-4184
Enumeration DateAugust 30, 2015
NPI 1720455306 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 · 21649
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.
1605 LAKE SUCCESS DR, Waco, TX 76710

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.

Clinic/Center (Dental)
1605 LAKE SUCCESS DR
WACO, TX 76710

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 Waco Grins Pediatric Dentistry, PLLC's NPI number?

The NPI number for Waco Grins Pediatric Dentistry, PLLC is 1720455306. It was assigned to this organization in the NPPES registry on August 30, 2015.

Where is Waco Grins Pediatric Dentistry, PLLC located?

Waco Grins Pediatric Dentistry, PLLC is located at 1605 Lake Success Dr, Waco, TX 76710. The listed phone number is (254) 772-4184.

What is Waco Grins Pediatric Dentistry, 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 Waco Grins Pediatric Dentistry, PLLC was last updated on August 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.