DRIPPING SPRINGS PEDIATRIC DENTAL, PLLC (NPI# 1639610421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639610421 |
| Entity Type | Organization |
| Organization Name | DRIPPING SPRINGS PEDIATRIC DENTAL, PLLC |
| Other Organization Name | LONE STAR PEDIATRIC DENTAL |
| Practice Address |
2440 E Highway 290. Building C, Suite B Dripping Springs TX 78620 |
| Mailing Address |
505 E Huntland Dr Ste 340 Austin TX 78752-3745 |
| Practice Telephone | 5126764444 |
| Mailing Telephone | 5122062975 |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-03-14 |
| Authorized Official Name | MARTY MONTGOMERY (OWNER) |
| Authorized Official Telephone | 5126764444 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Lone Star Pediatric Dental | Doing Business As Name - Organization |
| Street Address |
2440 E HIGHWAY 290. BUILDING C, SUITE B |
| City | DRIPPING SPRINGS |
| State | TX |
| Zip Code | 78620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659848943 | Corey Paul Devillier | Nurse Practitioner | 13830 Sawyer Ranch Rd Ste 102, Dripping Springs, TX 78620 | 2018-10-25 |
| 1023513751 | Southwest Austin Foot & Ankle Clinic | Podiatrist | 170 Benney Lane Ste 100, Dripping Springs, TX 78620 | 2018-03-26 |
| 1811405384 | Henly Community Clinic Pllc | Nurse Practitioner | 101 Hays St Ste 410, Dripping Springs, TX 78620 | 2018-01-17 |
| 1538674601 | Lifetime Recovery Academy Inc. | Clinic/Center | 13900 Sawyer Ranch Rd., Dripping Springs, TX 78620 | 2017-12-11 |
| 1972059269 | Christine Kloppe | General Practice | 190 Easy St., Dripping Springs, TX 78620 | 2016-08-28 |
| 1750758355 | Blake Liles | Nurse Practitioner | 598 Us-290, Dripping Spring, TX 78620 | 2015-08-31 |
| 1407258775 | Rediclinic Austin, LLC | Clinic/Center | 598 E. Hwy Us 290, Dripping Springs, TX 78620 | 2014-09-18 |
| 1871904607 | Brenda Watkins | Dermatology | 170 Benney Ln Ste 203, Dripping Springs, TX 78620 | 2014-05-14 |
| 1043641657 | Elaine Brown | Counselor | 13900 Sawyer Ranch Rd, Dripping Springs, TX 78620 | 2013-12-06 |
| 1649541525 | Lauren Alisa Herrington Stewart | Counselor | 230 Sports Park Road, Dripping Springs, TX 78620 | 2012-01-24 |
| Find all providers in zip 78620 | ||||
| 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 | ||||
| City | DRIPPING SPRINGS |
| Zip Code | 78620 |
Please comment or provide details below to improve the information on DRIPPING SPRINGS PEDIATRIC DENTAL, 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.