IKIDS PEDIATRIC DENTISTRY CEDAR HILL, PLLC (NPI# 1295273688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295273688 |
| Entity Type | Organization |
| Organization Name | IKIDS PEDIATRIC DENTISTRY CEDAR HILL, PLLC |
| Practice Address |
520 W. Fm 1382 Cedar Hill TX 75104 |
| Mailing Address |
2500 E Broad St Ste 104 Mansfield TX 76063-4181 |
| Practice Telephone | 8174668554 |
| Mailing Telephone | 8174668554 |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2018-08-15 |
| Authorized Official Name | ALYSSA AGUILAR (DIRECTOR OF REVENUE & CREDENTIALING) |
| Authorized Official Telephone | 8174668554 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
24272 | TX | Dental Providers |
| Street Address |
520 W. FM 1382 |
| City | CEDAR HILL |
| State | TX |
| Zip Code | 75104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647613 | Maurice Leung | Optometrist | 305 W. Fm1382 Bldg 500, Suite 500, Cedar Hill, TX 75104 | 2020-07-30 |
| 1073156055 | Collier Family Dnetistry Pllc | Dentist | 918 E Pleasant Run Rd, Ste 120, Cedar Hill, TX 75104 | 2019-10-23 |
| 1760038061 | Shawn Brandon Fitzpatrick | Optometrist | 500, 305 E Farm To Market Rd., 1382 #500, Cedar Hill, TX 75104 | 2019-08-13 |
| 1487120093 | Daniel Max & Marcandrea, LLC | Optometrist | 401 J Elmer Weaver Fwy, Cedar Hill, TX 75104 | 2018-10-22 |
| 1386153567 | Professional Np Cares Inc | Family Medicine | 1438 Oxbow Dr., Cedar Hill, TX 75104 | 2017-09-20 |
| 1598178568 | Meredith Lee Orseth | Dermatology | 610 Uptown Blvd Ste 102, Cedar Hill, TX 75104 | 2014-06-08 |
| 1295160943 | Cedar Hill Medical Center LLC | Clinic/Center | 850 Hwy 67 N, Cedar Hill, TX 75104 | 2013-09-12 |
| 1447699202 | Tammy Audrenia Clay | Registered Nurse | 1336 Boyd Street, Cedar Hill, TX 75104 | 2013-06-14 |
| 1205172020 | Felistar Ogechi Awhen | Licensed Vocational Nurse | 1277 Cedarhill, Cedarhill, TX 75104 | 2012-12-26 |
| 1861753279 | Planned Parenthood of Greater Texas Inc. -cedar Hill | Clinic/Center | 140 Fm Road 1382, Ste 160, Cedar Hill, TX 75104 | 2012-06-01 |
| Find all providers in zip 75104 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205378650 | Pediatric Dentistry of Cedar Hill, P.l.l.c. | Dentist | 450 N Highway 67, Ste 100, Cedar Hill, TX 75104-2135 | 2016-11-15 |
| 1831464387 | Shelly K. Clark | Dentist | 211 W Belt Line Rd, Cedar Hill, TX 75104-2066 | 2012-03-16 |
| 1306070537 | Ali Bayat | Dentist | 638 Uptown Blvd, Suite 100, Cedar Hill, TX 75104-3538 | 2009-05-01 |
| 1669567772 | Shelly K. Clark D.d.s., P.a. | Dentist | 211 W Belt Line Rd, South Suite, Cedar Hill, TX 75104-2066 | 2006-10-04 |
| 1891880076 | Shelly Kay Clark | Dentist | 211 W Belt Line Rd, North Suite, Cedar Hill, TX 75104-2066 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647454 | Memorial Dentistry for Kids Pllc | Dentist | 14090 Memorial Dr, Houston, TX 77079-6848 | 2020-10-20 |
| 1497362651 | Munal Dental Pllc | Dentist | 2921 N Fm 1417 Ste 100, Sherman, TX 75092-3559 | 2020-09-30 |
| 1467069880 | Unique Kids Pediatric Dentistry, Pllc | Dentist | 22118 Market Place Dr Ste 500, New Caney, TX 77357-2165 | 2020-09-29 |
| 1104438092 | Sarah Al Kukash | Dentist | 2536 Amherst St Ste A, Houston, TX 77005-3207 | 2020-08-20 |
| 1295344679 | Bulverde Dental Specialist Pllc | Dentist | 22103 Bulverde Rd Ste 108, San Antonio, TX 78259-1855 | 2020-07-30 |
| 1174132559 | Previcare, Pllc | Dentist | 2006 W Campbell Rd Ste 300, Garland, TX 75044-2315 | 2020-07-30 |
| 1386252088 | Saba Saleem Tareen | Dentist | 1503 Royal Ln, Colleyville, TX 76034-5585 | 2020-07-19 |
| 1306454178 | Susan Roberts Pediatric Dentistry Pllc | Dentist | 5411 Basswood Blvd Ste 201, Fort Worth, TX 76137-4479 | 2020-07-17 |
| 1316564990 | Ikids Pediatric Dentistry Lakewood, Pllc | Dentist | 2011 Abrams Parkway, Dallas, TX 75214 | 2020-06-30 |
| 1316563497 | Woodlands Pediatric Dentistry PC | Dentist | 4850 W Panther Creek Dr Ste 102, The Woodlands, TX 77381-3595 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR HILL |
| Zip Code | 75104 |
Please comment or provide details below to improve the information on IKIDS PEDIATRIC DENTISTRY CEDAR HILL, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.