BELTON PEDIATRIC DENTAL PLLC (NPI# 1740682467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740682467 |
| Entity Type | Organization |
| Organization Name | BELTON PEDIATRIC DENTAL PLLC |
| Other Organization Name | LONE STAR PEDIATRIC DENTAL PLLC |
| Practice Address |
412 Lake Belton Rd Belton TX 76513 |
| Practice Telephone | 5124424338 |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-09-25 |
| Authorized Official Name | CLAUDIA WOOLFORD (GENERAL MANAGER) |
| Authorized Official Telephone | 5122217462 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
TX | Dental Providers |
| Other Name | Type Code |
|---|---|
| Lone Star Pediatric Dental PLLC | Doing Business As Name - Organization |
| Street Address |
412 LAKE BELTON RD |
| City | BELTON |
| State | TX |
| Zip Code | 76513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460405 | Monique Roberts | Physical Therapist | 1008 Arbor Park Dr Suite B, Belton, TX 76513 | 2020-09-07 |
| 1821621418 | Shannon Alexis Marek | Specialist/Technologist | 624 Tiger Dr, Belton, TX 76513 | 2020-02-21 |
| 1174189732 | Bobby Bruce | Nurse Practitioner | 123 E 9th Ave, Belton, TX 76513 | 2019-05-19 |
| 1811475643 | Elizabeth Irma Scott | Dentist | 412 Lake Rd, Belton, TX 76513 | 2018-08-03 |
| 1235677519 | Bell County Adult & Child Therapies, Pllc | Clinic/Center | 4408 Windbell Drive Belton, Belton, TX 76513 | 2017-02-07 |
| 1679953509 | Jayne Jennings Dunlap | Nurse Practitioner | 1001 Arbor Park Drive, Belton, TX 76513 | 2015-06-05 |
| 1013396464 | Cynthia Hodges | Counselor | 19 Cottonwood Loop, Belton, TX 76513 | 2015-05-19 |
| 1447668637 | Joella Racheal Gibbs-stiles | Nurse Practitioner | 2210 Holland Rd, Belton, TX 76513 | 2014-07-31 |
| 1851622641 | Central Texas Oxygen 24/7 | Durable Medical Equipment & Medical Supplies | 1686 Morgans Point Rd., Morgans Point Resort, TX 76513 | 2010-01-19 |
| 1003144163 | Teresa Kay Oldham | Social Worker | 80 Morgan's Point Rd., Suite 105, Belton, TX 76513 | 2009-12-01 |
| Find all providers in zip 76513 | ||||
| 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 |
|---|---|---|---|---|
| 1639703374 | Mengxia Chen | Dentist | 412 Lake Rd, Belton, TX 76513-1402 | 2020-03-02 |
| 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 | ||||
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| 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.