AFFORDABLE DENTIST NEAR ME
NPI 1760842587
Clinic/Center - Dental in Waco, TX

Q: What is Affordable Dentist Near Me In Waco PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since March 07, 2016

4573 LAKE SHORE DR, WACO, TX 76710(817) 656-1215(877) 230-8349 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Affordable Dentist Near Me NPPES

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

AFFORDABLE DENTIST NEAR ME (NPI 1760842587) is a healthcare organization registered as a dental in Waco, Texas and active in the NPI registry since March 2016. The organization lists Tri Pham, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1760842587

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameAFFORDABLE DENTIST NEAR ME IN WACO PLLC

Location Address4573 LAKE SHORE DRWaco, TX 76710-1814

Mailing Address5416 Basswood BlvdFort Worth, TX 76137-4400 · (817) 656-1215 · Fax (877) 230-8349

Phone(817) 656-1215

Fax(877) 230-8349

Organization SubpartNo

Authorized OfficialTri PhamSole Owner · (817) 656-1215

Enumeration DateMarch 7, 2016

Last NPPES UpdateMay 8, 2024

NPPES CertifiedMay 8, 2024

✔ NPI 1760842587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 24570 (TX)

4573 LAKE SHORE DR, Waco, TX 76710

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Other Names 1

Doing Business AsAffordable Dentist Near Me

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include DentaQuest USA Insurance Company, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Affordable Dentist Near Me is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Affordable Dentist Near Me, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Tri Huu Pham, DDS

Oral Surgery

NPI 1558597963

6426 MEADOWBROOK DR
Fort Worth, TX 76112

(817) 496-2343

✔ PECOS82 mi

James Edmondson, D.D.S.

Oral Surgery

NPI 1013094606

2415 S AUSTIN AVE STE. 101
Denison, TX 75020

(903) 327-8540

✔ PECOS154 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Affordable Dentist Near Me In Waco PLLC's NPI number?

The NPI number for Affordable Dentist Near Me In Waco PLLC is 1760842587. It was assigned to this organization in the NPPES registry on March 7, 2016. The provider is doing business as Affordable Dentist Near Me.

Where is Affordable Dentist Near Me In Waco PLLC located?

Affordable Dentist Near Me In Waco PLLC is located at 4573 Lake Shore Dr, Waco, TX 76710. The listed phone number is (817) 656-1215.

What is Affordable Dentist Near Me In Waco PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Is Affordable Dentist Near Me In Waco PLLC enrolled in Medicare?

Yes. Affordable Dentist Near Me In Waco PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Affordable Dentist Near Me In Waco PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Oral Surgery, reassign their Medicare billing to Affordable Dentist Near Me In Waco PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Affordable Dentist Near Me In Waco PLLC accept?

Health plans from DentaQuest USA Insurance Company, Inc. and UnitedHealthcare list Affordable Dentist Near Me In Waco PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Affordable Dentist Near Me In Waco PLLC was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.