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LITTLE BOOTS PEDIATRIC DENTISTRY
NPI 1902661168
Dentist - Pediatric Dentistry in Fort Worth, TX

Active since February 16, 2024
3804 LENOX DR, FORT WORTH, TX 76107(314) 630-3689 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Little Boots Pediatric Dentistry NPPES

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

LITTLE BOOTS PEDIATRIC DENTISTRY (NPI 1902661168) is a healthcare organization registered as a pediatric dentistry in Fort Worth, Texas and active in the NPI registry since February 2024. The organization lists Kathryn Holthaus, Owner / Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1902661168
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameLITTLE BOOTS PEDIATRIC DENTISTRY
Location Address3804 LENOX DRFort Worth, TX 76107-1714
Mailing Address3804 Lenox DrFort Worth, TX 76107-1714 · (314) 630-3689
Phone(314) 630-3689
Organization SubpartNo
Authorized OfficialKathryn HolthausOwner / Pediatric Dentist · (314) 630-3689
Enumeration DateFebruary 16, 2024
NPPES CertifiedFebruary 16, 2024
✔ NPI 1902661168 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.
3804 LENOX DR, Fort Worth, TX 76107
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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

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 Little Boots Pediatric Dentistry's NPI number?

The NPI number for Little Boots Pediatric Dentistry is 1902661168. It was assigned to this organization in the NPPES registry on February 16, 2024.

Where is Little Boots Pediatric Dentistry located?

Little Boots Pediatric Dentistry is located at 3804 Lenox Dr, Fort Worth, TX 76107. The listed phone number is (314) 630-3689.

What is Little Boots Pediatric Dentistry'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 Little Boots Pediatric Dentistry was last updated on February 16, 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.