LUCELY SANTILLAN
NPI 1962085704
Dentist - Pediatric Dentistry in Dallas, TX

Q: What is Lucely Santillan's NPI number?

The NPI number for Lucely Santillan is 1962085704. It was assigned to this individual provider in the NPPES registry on April 29, 2021.

Q: What is Lucely Santillan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Lucely Santillan was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since April 29, 2021

1935 MEDICAL DISTRICT DR, DALLAS, TX 75235(214) 456-2735 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 13, 2026, Apr 5, 2023, May 3, 2021 and 1 more (4 updates tracked since 2021).

On this page

About Lucely Santillan NPPES

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

LUCELY SANTILLAN (NPI 1962085704) is an individual pediatric dentistry provider in Dallas, Texas, licensed in Texas (37665) and active in the NPI registry since April 2021. She maintains a secondary practice location in Garland.

NPPES Registry Identity

NPI1962085704

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameLUCELY SANTILLAN

Location Address1935 MEDICAL DISTRICT DRDallas, TX 75235-7701

Mailing Address4880 N President George Bush Hwy # 104Garland, TX 75040-2742 · (978) 635-2217

Phone(214) 456-2735

Sole ProprietorNo

Enumeration DateApril 29, 2021

Last NPPES UpdateJanuary 13, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 13, 2026

✔ NPI 1962085704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in TX · 37665

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.

1935 MEDICAL DISTRICT DR, Dallas, TX 75235

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Secondary Practice Location 1

Location 14880 N President George Bush Hwy # 104Garland, TX 75040-2742 · Phone (972) 364-7472

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

TERESA ANNA JONES CPNP-AC

Nurse Practitioner (Pediatrics)

1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

Dallas County (973) 801-0173

CASSIE ANN LAURENCE PA-C

Physician Assistant

1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

Dallas County (214) 456-7000

MICHELE WILLET RYLANDER RN, MSN, CPNP

Nurse Practitioner (Pediatrics)

1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

Dallas County (214) 456-7000

MR. ADAM CHRISTOPHER WENNER CPNP-AC

Nurse Practitioner (Pediatrics, Critical Care)

1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

Dallas County (469) 303-7000

RICHARD DAVID SENTELLE D.M.D./PH.D.

Student in an Organized Health Care Education/Training Program

1935 MEDICAL DISTRICT DR, GRADUATE MEDICAL EDUCATION
DALLAS, TX 75235

Dallas County (214) 456-2735

KELSEY NICOLE BURKHART PA

Physician Assistant

1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

Dallas County (214) 456-7000

RENAE JEAN WHITE MD

Student in an Organized Health Care Education/Training Program

1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

Dallas County (214) 456-2735

VICTORIA LEE CPNP-AC/PC

Nurse Practitioner (Pediatrics)

1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

Dallas County (214) 456-7000

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 Lucely Santillan's NPI number?

The NPI number for Lucely Santillan is 1962085704. It was assigned to this individual provider in the NPPES registry on April 29, 2021.

Where is Lucely Santillan located?

Lucely Santillan practices at 1935 Medical District Dr, Dallas, TX 75235. The listed phone number is (214) 456-2735.

What is Lucely Santillan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Lucely Santillan accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 17 other insurers list Lucely Santillan 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 Lucely Santillan was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.