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PICKETT FAMILY DENTAL PLLC NPI 1205314150


NPI Information

NPI: 1205314150
Provider Name: PICKETT FAMILY DENTAL PLLC

Doing Business As: PICKETT FAMILY DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1135 KELLER PKWY
KELLER, TX
ZIP 76248
Phone: (817) 431-5514
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PICKETT FAMILY DENTAL PLLC is a dental clinic center in Keller, TX. PICKETT FAMILY DENTAL PLLC NPI is 1205314150. The provider is registered as an organization entity type.
The provider Is Doing Business As Pickett Family Dental.

The provider's business location address is:

1135 KELLER PKWY
KELLER, TX
ZIP 76248-614
Phone: (817) 431-5514
Fax: (817) 431-8048

The provider's authorized official is Tyson Pickett .
The authorized official title is Owner and has the following contact phone number (817) 431-5514.

The enumeration date for this NPI number is 8/2/2018 and was last updated on 8/2/2018.


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
1261QD0000XClinic/CenterDental31668TEXASYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.