KIDSTOWN DENTAL NPI 1558622332

NPI Information

  • NPI: 1558622332
  • Provider Name: KIDSTOWN DENTAL
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 27110 CINCO RANCH SUITE 900
    KATY, TX
    ZIP 77494
  • Phone: (281) 433-1244

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NPI Details

KIDSTOWN DENTAL is a pediatric dentistry dentist in Katy, 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. KIDSTOWN DENTAL NPI is 1558622332. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

27110 CINCO RANCH SUITE 900
KATY, TX
ZIP 77494
Phone: (281) 433-1244

The provider's authorized official is Amy Lynn Luedemann .
The authorized official title is Pediatric Dentist and has the following contact phone number (281) 433-1244.

The enumeration date for this NPI number is 6/7/2012 and was last updated on 6/7/2012.

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 Dentistry24032TEXASYes

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
1220749001MEDICAIDTEXAS

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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