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STAR SMILES PEDIATRIC DENTISTRY
NPI 1801060660
Dentist - Pediatric Dentistry in Georgetown, TX

Active since April 14, 2008
1103 RIVERY BLVD, STE 140, GEORGETOWN, TX 78628(512) 864-9595 Get Directions Write a Review

NPPES record last updated: September 23, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Star Smiles Pediatric Dentistry NPPES

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

STAR SMILES PEDIATRIC DENTISTRY (NPI 1801060660) is a healthcare organization registered as a pediatric dentistry in Georgetown, Texas and active in the NPI registry since April 2008. The organization lists Kelly Marie Gonzales, President, as its authorized official.

NPPES Registry Identity

NPI1801060660
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameKELLY M. GONZALES, DDS, PC
Location Address1103 RIVERY BLVD, STE 140Georgetown, TX 78628-3034
Mailing Address1103 Rivery Blvd, Ste 140Georgetown, TX 78628-3034 · (512) 864-9595
Phone(512) 864-9595
Organization SubpartNo
Authorized OfficialKelly Marie GonzalesPresident · (512) 864-9595
Enumeration DateApril 14, 2008
Last NPPES UpdateSeptember 23, 2009
✔ NPI 1801060660 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.
1103 RIVERY BLVD, Georgetown, TX 78628
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Other Names 1

Doing Business AsStar Smiles Pediatric Dentistry

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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KELLY MARIE GONZALES DDS
Dentist (Pediatric Dentistry)
1103 RIVERY BLVD, STE. 140
GEORGETOWN, TX 78628
Williamson County (903) 288-3898
ALISON DAMARODAS CAMPBELL DDS
Dentist (Pediatric Dentistry)
1103 RIVERY BLVD, STE 140
GEORGETOWN, TX 78628
Williamson County (512) 864-9595
DR. JEFFREY CHAD FENDLEY D.D.S.
Dentist (General Practice)
1103 RIVERY BLVD, SUITE 300
GEORGETOWN, TX 78628
Williamson County (512) 868-0238
DR. RANDY S O BRIEN DDS
Dentist (General Practice)
1103 RIVERY BLVD, SUITE 300
GEORGETOWN, TX 78628
Williamson County (512) 868-0238
AFFORDABLE DENTURES & IMPLANTS - TEXAS, PLLC
Dentist (General Practice)
1103 RIVERY BLVD, STE 300
GEORGETOWN, TX 78628
Williamson County (918) 473-0285
STEPHEN MARK MEACHAM D.D.S.
Dentist (General Practice)
1103 RIVERY BLVD, 300
GEORGETOWN, TX 78628
Williamson County (512) 868-0238

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 Kelly M. Gonzales, Dds, PC's NPI number?

The NPI number for Kelly M. Gonzales, Dds, PC is 1801060660. It was assigned to this organization in the NPPES registry on April 14, 2008. The provider is doing business as Star Smiles Pediatric Dentistry.

Where is Kelly M. Gonzales, Dds, PC located?

Kelly M. Gonzales, Dds, PC is located at 1103 Rivery Blvd Ste 140, Georgetown, TX 78628. The listed phone number is (512) 864-9595.

What is Kelly M. Gonzales, Dds, 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 Kelly M. Gonzales, Dds, PC was last updated on September 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.