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CDPT II PC NPI 1063926681


NPI Information

NPI: 1063926681
Provider Name: CDPT II PC

Doing Business As: CHILDREN'S DENTAL AND ORTHODONTICS

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
17194 PRESTON RD STE 160
DALLAS, TX
ZIP 75248
Phone: (214) 453-2565
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CDPT II PC is a pediatric dentistry dentist in Dallas, TX. The provider is 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. CDPT II PC NPI is 1063926681. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Children's Dental And Orthodontics.

The provider's business location address is:

17194 PRESTON RD STE 160
DALLAS, TX
ZIP 75248-221
Phone: (214) 453-2565

The provider's authorized official is Charlotte V Dasch .
The authorized official title is Sr. Operations Coordinator and has the following contact phone number (504) 638-0303.

The enumeration date for this NPI number is 11/17/2017 and was last updated on 11/17/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry29183TEXASYes
21223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERPEDIATRIC DENTAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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