NPI 1073614772 · live from the CMS NPI Registry
Amarillo Pediatric Dentistry And Orthodontics, PLLC
Dentist, Pediatric Dentistry in Amarillo, TX. National Provider Identifier 1073614772, active.
NPI record
| NPI | 1073614772 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Pediatric Dentistry 1223P0221X |
| Practice location | 2300 Wolflin Ave, Amarillo, TX 79109 |
| Practice phone | 806-398-2536 |
| Enumerated | September 26, 2006 |
| Last updated | February 20, 2025 |
| Authorized official | Lynsey Harrison, Coo |
| Other names | Amarillo Pediatric Dentistry |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Pediatric Dentistry primary | 1223P0221X | — |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.