NPI 1689430845 · live from the CMS NPI Registry
Athens Tiny Teeth PLLC
Dentist, Pediatric Dentistry in Athens, TX. National Provider Identifier 1689430845, active.
NPI record
| NPI | 1689430845 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Pediatric Dentistry 1223P0221X |
| Practice location | 101 E Tyler St Ste C, Athens, TX 75751 |
| Practice phone | 903-997-5437 |
| Mailing address | 5217 Tennyson Pkwy Ste 500, Plano, TX 75024 |
| Enumerated | February 26, 2024 |
| Last updated | February 26, 2024 |
| Authorized official | James Slaughter, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | — |
| Dentist, Pediatric Dentistry primary | 1223P0221X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.