CHRISTIAN CABELLO PEDIATRIC DENTISTRY NPI 1063962942

NPI Information

  • NPI: 1063962942
  • Provider Name: CHRISTIAN CABELLO PEDIATRIC DENTISTRY
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Doing Business As: DR.CC'S TOOTH FACTORY
  • Address: 6910 MCPHERSON RD
    SUITE 2
    LAREDO, TX
    ZIP 78041
  • Phone: (956) 625-5311

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NPI Details

CHRISTIAN CABELLO PEDIATRIC DENTISTRY is a pediatric dentistry dentist in Laredo, 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. CHRISTIAN CABELLO PEDIATRIC DENTISTRY NPI is 1063962942. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Dr.cc's Tooth Factory.

The provider's business location address is:

6910 MCPHERSON RD
SUITE 2
LAREDO, TX
ZIP 78041-407
Phone: (956) 625-5311
Fax: (956) 625-5333

The provider's authorized official is Christian C Cabello .
The authorized official title is Pediatric Dentist/owner and has the following contact phone number (956) 625-5311.

The enumeration date for this NPI number is 10/4/2016 and was last updated on 3/29/2017.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric DentistryTEXASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11750571139MEDICAIDTEXAS
21063962942MEDICAIDTEXAS

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: 11/21/2025

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