GEORGETOWN PEDIATRIC DENTISTRY, LLC


Address: 4507 Williams Drive, Georgetown, TX 78633
Phone: 5128694100

GEORGETOWN PEDIATRIC DENTISTRY, LLC (NPI# 1851567499) 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) 1851567499
Entity Type Organization
Organization Name GEORGETOWN PEDIATRIC DENTISTRY, LLC
Other Organization Name COVE PEDIATRIC DENTISTRY & ORTHODONTICS
Practice Address 4507 Williams Drive
Georgetown
TX 78633
Mailing Address 4507 Williams Dr
Georgetown
TX 78633
Practice Telephone 5128694100
Mailing Telephone 5128694100
Enumeration Date 2008-05-04
Last Update Date 2014-04-04
Authorized Official Name DR. KENNETH SEELY HAVARD (PARTNER/DENTIST)
Authorized Official Telephone 5128180232
Authorized Official Credential D.D.S.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
16755 TX Dental Providers
N 1223P0221X Dentist
Specialization: Pediatric Dentistry
22754 TX Dental Providers
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
23759 TX Dental Providers

Other Provider/Organization Names

Other Name Type Code
Cove Pediatric Dentistry & Orthodontics Doing Business As Name - Organization

Office Location

Street Address 4507 WILLIAMS DRIVE
City GEORGETOWN
State TX
Zip Code 78633

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568098937 Medsur One Telemedicine LLC Nurse Practitioner 110 Eisenhower Court (administrative Office Location), 1309 Coffeen Ave Ste 1200 Sheridan Wy 82801, Georgetown, TX 78633 2020-03-18
1467946384 Majestic Healthcare, Pllc Nurse Practitioner 110 Eisenhower Ct, Georgetown, TX 78633 2018-06-15
1912419649 Randalls Food & Drugs Lp Durable Medical Equipment & Medical Supplies 5721 Williams Dr, Georgetown, TX 78633 2017-11-03
1255783510 Peter James Mcgrath Physical Therapist 4749 Williams Drive, Suite 335, Georgetown, TX 78633 2016-07-11
1316357346 Cody Ryon Gomez Internal Medicine 3201 South Austin Ave, Suite 205, Georgetown, TX 78633 2014-04-29
1902130701 Don Wayne Berry Thoracic Surgery (Cardiothoracic Vascular Surgery) 624 Rio Grand Loop, Georgetown, TX 78633 2009-09-25
1215035845 Saramma George Family Medicine 105 Wildwood Drive, Suite 105, Georgetown, TX 78633 2006-09-20
1104834258 Mobile Cr Imaging, LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 4749 Williams Dr, Georgetown, TX 78633 2006-08-04
1619997350 Kathryn E Holland Counselor 603 Chambers Creek Ct, Georgetown, TX 78633 2006-07-19
1417404153 Ochna Health Clinic/Center 4749 Williams Dr, Suite 304, Georgetown, TX 78633 2016-09-09
Find all providers in zip 78633

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
1366613978 Travis Reed Hildebrand Dentist 4402 Williams Dr, Ste 106, Georgetown, TX 78628-1341 2008-03-22
1447331509 Pediatric Dentistry of Georgetown, Pllc Dentist 101 Darby Dr Ste 101, Georgetown, KY 40324-8715 2006-10-17
1396835575 Hamid Yazdi Dentist 9415 W State Highway 29, Georgetown, TX 78628-6914 2006-10-16
1497386049 Kids Dentistree of Ky LLC Dentist 1508 Oxford Dr, Georgetown, KY 40324-9266 2020-02-03
1184909814 Liberty Hill Pediatric Dentistry, Pa Dentist 9415 W State Highway 29, Georgetown, TX 78628-6914 2011-10-13
1801060660 Kelly M. Gonzales, Dds, PC Dentist 1103 Rivery Blvd, Ste 140, Georgetown, TX 78628-3034 2008-04-14
1588836183 Kenneth Seely Havard Dentist 4402 Williams Dr, Suite 106, Georgetown, TX 78628-1341 2008-03-24
1417128687 Kelly Marie Gonzales Dentist 1103 Rivery Blvd, Ste. 140, Georgetown, TX 78628-3034 2008-03-17
1083807945 Dentistry for Children Dentist 205 Champion Way, Suite 9, Georgetown, KY 40324-8862 2007-08-23
1588788970 Alison Damarodas Campbell Dentist 1103 Rivery Blvd, Ste 140, Georgetown, TX 78628-3034 2007-03-19
Find all providers in GEORGETOWN

Competitor

Search similar providers

City GEORGETOWN
Zip Code 78633

Improve Information

Please comment or provide details below to improve the information on GEORGETOWN PEDIATRIC DENTISTRY, LLC.

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.

Trending Searches