IVORY PEDIATRIC DENTAL
NPI 1790408227
Dentist - Pediatric Dentistry in Aledo, TX

Active since September 20, 2022
311 S FM 1187 STE 300, ALEDO, TX 76008(817) 406-2025 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ivory Pediatric Dental NPPES

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

IVORY PEDIATRIC DENTAL (NPI 1790408227) is a healthcare organization registered as a pediatric dentistry in Aledo, Texas and active in the NPI registry since September 2022. The organization lists Adrienne Archidiacono, Practice Owner/pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1790408227
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameIVORY PEDIATRIC DENTAL
Location Address311 S FM 1187 STE 300Aledo, TX 76008-6452
Mailing Address311 S Fm 1187 Ste 300Aledo, TX 76008-6452
Organization SubpartNo
Authorized OfficialAdrienne ArchidiaconoPractice Owner/pediatric Dentist · (817) 406-2025
Enumeration DateSeptember 20, 2022
NPPES CertifiedSeptember 20, 2022
NPI 1790408227 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.

311 S FM 1187 STE 300, Aledo, TX 76008

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.

Dentist (Pediatric Dentistry)
311 S FM 1187 STE 300
ALEDO, TX 76008

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 Ivory Pediatric Dental's NPI number?

The NPI number for Ivory Pediatric Dental is 1790408227. It was assigned to this organization in the NPPES registry on September 20, 2022.

Where is Ivory Pediatric Dental located?

Ivory Pediatric Dental is located at 311 S Fm 1187 Ste 300, Aledo, TX 76008. The listed phone number is (817) 406-2025.

What is Ivory Pediatric Dental'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 Ivory Pediatric Dental was last updated on September 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.