PEDIATRIC DENTISTRY OF NORTHLAKE PLLC (NPI# 1386109650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386109650 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC DENTISTRY OF NORTHLAKE PLLC |
| Practice Address |
8151 Thompson Road Northlake TX 76247 |
| Practice Telephone | 8177069924 |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |
| Authorized Official Name | JASON ASHCROFT (PRESIDENT) |
| Authorized Official Telephone | 8177069924 |
| Authorized Official Credential | DMD, MSD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
8151 THOMPSON ROAD |
| City | NORTHLAKE |
| State | TX |
| Zip Code | 76247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386285757 | Beatriz Magee | Technician | 9320 Porter Ln, Dish, TX 76247 | 2019-10-07 |
| 1164919460 | April Reed | Occupational Therapy Assistant | 1300, 2400 Westport Pkwy, Fort Worth, TX 76247 | 2018-04-23 |
| 1285180992 | David Keith Elder | Massage Therapist | 8520 Longhorn Dr., Justin, TX 76247 | 2016-09-01 |
| 1912247354 | Justin Family Dentistry, Pa | Dentist | 536 S. Fm 156, Justin, TX 76247 | 2013-02-21 |
| 1275838120 | Jason Cody Squyres | Chiropractor | 15080 Hwy 156, Suite C, Justin, TX 76247 | 2011-01-24 |
| 1811145576 | Natalie Marie Hull | Family Medicine | 1800 State Highway 114, Justin, TX 76247 | 2008-09-05 |
| 1194901918 | Kamali Chiropractic | Chiropractor | 950 South Highway 156, #10, Justin, TX 76247 | 2008-01-10 |
| 1619169448 | Jessica Raechelle Judge | Chiropractor | 112 W. 4th St, Justin, TX 76247 | 2007-08-15 |
| 1831229384 | Justin Volunteer Fire Department | Ambulance | 310 N Sealy Ave, Justin, TX 76247 | 2007-03-06 |
| 1427139039 | David Allen Nall | Pharmacist | 112 W 4th St, Justin, TX 76247 | 2006-10-18 |
| Find all providers in zip 76247 | ||||
| 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 |
|---|---|---|---|---|
| 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.