MARBLE FALLS PEDIATRIC DENTISTRY PLLC NPI 1467832014

NPI Information

  • NPI: 1467832014
  • Provider Name: MARBLE FALLS PEDIATRIC DENTISTRY PLLC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • CLIA Number: 45D1025379
  • Address: 608 GATEWAY CENTRAL
    SUITE 201
    MARBLE FALLS, TX
    ZIP 78654
  • Phone: (830) 428-2255

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NPI Details

MARBLE FALLS PEDIATRIC DENTISTRY PLLC is a pediatric dentistry dentist in Marble Falls, 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. MARBLE FALLS PEDIATRIC DENTISTRY PLLC NPI is 1467832014. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

608 GATEWAY CENTRAL
SUITE 201
MARBLE FALLS, TX
ZIP 78654-354
Phone: (830) 428-2255

The provider's authorized official is Carly Aly .
The authorized official title is Regional Manager and has the following contact phone number (936) 419-3235.

The CLIA number assigned to this NPI record is 45D1025379 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2015 and was last updated on 6/8/2015.

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 DentistryYes

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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