RWPK LLC NPI 1225409139

NPI Information

NPI: 1225409139
Provider Name: RWPK LLC

Doing Business As: KERRVILLE PEDIATRIC DENTISTRY

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
715 HILL COUNTRY DR STE 5
KERRVILLE, TX
ZIP 78028
Phone: (830) 255-4197
Get Directions

RWPK LLC is a pediatric dentistry dentist in Kerrville, 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. RWPK LLC NPI is 1225409139. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kerrville Pediatric Dentistry.

The provider's business location address is:

715 HILL COUNTRY DR STE 5
KERRVILLE, TX
ZIP 78028-965
Phone: (830) 255-4197

The provider's authorized official is Rex Elwyn Wildey .
The authorized official title is Owner and has the following contact phone number (830) 255-4197.

The enumeration date for this NPI number is 10/19/2015 and was last updated on 3/1/2016.

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
1	1223P0221X	Dentist	Pediatric Dentistry	25425	TEXAS	Yes

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
1	211746707	MEDICAID	TEXAS

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: 5/5/2024

NPI Synchronization or Removal

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