1. Home
  2. Directory
  3. Texas
  4. Keller
  5. Dentist
  6. NPI Profile

PEDIATRIC DENTISTRY OF KELLER PLLC
NPI 1750934253
Dentist - Pediatric Dentistry in Keller, TX

Active since July 23, 2019
1627 KELLER PARKWAY, SUITE 100, KELLER, TX 76248(480) 207-9709 Get Directions Write a Review

NPPES record last updated: July 23, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pediatric Dentistry Of Keller Pllc NPPES

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

PEDIATRIC DENTISTRY OF KELLER PLLC (NPI 1750934253) is a healthcare organization registered as a pediatric dentistry in Keller, Texas and active in the NPI registry since July 2019. The organization lists Jacob Johnson, Member, as its authorized official.

NPPES Registry Identity

NPI1750934253
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTISTRY OF KELLER PLLC
Location Address1627 KELLER PARKWAY, SUITE 100Keller, TX 76248
Mailing Address2101 Bradley DrKeller, TX 76248-6868 · (480) 207-9709
Phone(480) 207-9709
Organization SubpartNo
Authorized OfficialJacob JohnsonMember · (480) 207-9709
Enumeration DateJuly 23, 2019
✔ NPI 1750934253 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.
1627 KELLER PARKWAY, Keller, TX 76248
Open in Google Maps ↗

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

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 Pediatric Dentistry Of Keller PLLC's NPI number?

The NPI number for Pediatric Dentistry Of Keller PLLC is 1750934253. It was assigned to this organization in the NPPES registry on July 23, 2019.

Where is Pediatric Dentistry Of Keller PLLC located?

Pediatric Dentistry Of Keller PLLC is located at 1627 Keller Parkway Suite 100, Keller, TX 76248. The listed phone number is (480) 207-9709.

What is Pediatric Dentistry Of Keller 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 Pediatric Dentistry Of Keller PLLC was last updated on July 23, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.