SPECIALTY PEDIATRIC DENTISTRY, PC
NPI 1760186811
Dentist - Pediatric Dentistry in Lakeway, TX

Active since March 30, 2023
3313 RANCH ROAD 620 S STE 300, LAKEWAY, TX 78738(512) 266-7200(512) 233-5180 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Specialty Pediatric Dentistry, Pc NPPES

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

SPECIALTY PEDIATRIC DENTISTRY, PC (NPI 1760186811) is a healthcare organization registered as a pediatric dentistry in Lakeway, Texas and active in the NPI registry since March 2023. The organization lists Serenthes Fields, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1760186811
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSPECIALTY PEDIATRIC DENTISTRY, PC
Location Address3313 RANCH ROAD 620 S STE 300Lakeway, TX 78738-6871
Mailing Address1500 S A W Grimes Blvd Ste 190Round Rock, TX 78664-7843 · (512) 266-7200 · Fax (512) 233-5180
Fax(512) 233-5180
Organization SubpartNo
Authorized OfficialSerenthes FieldsCredentialing Specialist · (678) 599-2333
Enumeration DateMarch 30, 2023
NPPES CertifiedMarch 30, 2023
NPI 1760186811 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.

3313 RANCH ROAD 620 S STE 300, Lakeway, TX 78738

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 MULTIPLE 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.

Dentist (Orthodontics and Dentofacial Orthopedics)
3313 RANCH ROAD 620 S STE 300
LAKEWAY, TX 78738

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 Specialty Pediatric Dentistry, PC's NPI number?

The NPI number for Specialty Pediatric Dentistry, PC is 1760186811. It was assigned to this organization in the NPPES registry on March 30, 2023.

Where is Specialty Pediatric Dentistry, PC located?

Specialty Pediatric Dentistry, PC is located at 3313 Ranch Road 620 S Ste 300, Lakeway, TX 78738. The listed phone number is (512) 266-7200.

What is Specialty Pediatric Dentistry, PC'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 Specialty Pediatric Dentistry, PC was last updated on March 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.