IKIDS PEDIATRIC DENTISTRY LAKEWOOD, PLLC


Address: 2011 Abrams Parkway, Dallas, TX 75214
Phone: 4695819001

IKIDS PEDIATRIC DENTISTRY LAKEWOOD, PLLC (NPI# 1316564990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316564990
Entity Type Organization
Organization Name IKIDS PEDIATRIC DENTISTRY LAKEWOOD, PLLC
Practice Address 2011 Abrams Parkway
Dallas
TX 75214
Mailing Address 2500 E Broad St Ste 104
Mansfield
TX 76063-4182
Practice Telephone 4695819001
Practice Fax Number 4695819002
Mailing Telephone 8174668554
Mailing Fax Number 6822730663
Enumeration Date 2020-06-30
Last Update Date 2020-07-01
Authorized Official Name ALYSSA N AGUILAR (DIRECTOR OF REVENUE & CREDENTIALING)
Authorized Official Telephone 8174668554
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
Dental Providers

Office Location

Street Address 2011 ABRAMS PARKWAY
City DALLAS
State TX
Zip Code 75214

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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447883863 Cre8tive Pediatric Dental Group Dentist 2201 Fort Worth Avenue, Dallas, TX 75211 2020-02-13
1851944706 Buckner Rsvglc Pllc Dentist 2702 S Buckner Blvd # 111, Dallas, TX 75227-6903 2019-07-19
1881170355 Awesome Kids Dentistry Dentist 3217 W Davis St, Dallas, TX 75211-2923 2018-07-17
1053812081 Armin Afshar Dentist 201 Se Washington St Ste A, Dallas, OR 97338-2860 2018-02-25
1477077717 Children's Dental At Preston Trail, PC Dentist 17194 Preson Road, Dallas, TX 75248 2017-07-28
1558897686 Chandler Choate Borth Dentist 8305 Walnut Hill Ln Ste 225, Dallas, TX 75231-4259 2017-05-10
1629516919 William Preston Colven Jr. Dentist 8355 Walnut Hill Ln Ste 125, Dallas, TX 75231-4237 2017-02-07
1447797188 A Smile for Life Pllc Dentist 324 Medallion Ctr, Dallas, TX 75214-1580 2017-01-19
1740649441 J Diane Colter, Dds, Pa Dentist 12300 Inwood Rd., Ste #220, Dallas, TX 75244 2016-02-23
1568820009 Ashley Nicole Green Dentist 2221 W. Ledbetter Drive, Suite 100, Dallas, TX 75224 2016-01-28
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Competitor

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City DALLAS
Zip Code 75214

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Dataset Information

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.

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