SKJ Dental, PLLC
Organization Active NPI Pediatric Dentistry · Bellmead, TX
NPI 1073043501 · NPPES record last updated Dec 16, 2019
Key facts
- NPI
- 1073043501
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- Legal business name
- SKJ DENTAL, PLLC
- Practice address
- 3200 Bellmead Dr
Bellmead, TX 76705-3077 - Phone
- (254) 799-4000
- NPI assigned
- Jun 18, 2017
- Organization subpart
- No
Authorized official
- Name
- Ms. Amanda Saiz
- Title
- Credentialing Specialist
- Phone
- (254) 338-1468
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry |
1223P0221X | TX | Yes |
Addresses
Primary practice location
3200 Bellmead Dr
Bellmead, TX 76705-3077
Mailing address
3200 Bellmead Dr
Bellmead, TX 76705-3077
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 372888302 | Medicaid | TX | |
| 372888301 | Medicaid | TX |
Other names
- Bellmead Kid's Dentistry
Other providers in Bellmead, TX
- Palak Patel
- PKMD Enterprises
- Jeffrey T Raimondo
- Gina Marie Sanders
- Arjun Deo Singh
- Ashlee R Sparks
- Adam Kyle Spillers
- Susan G. Francis, DDS, PA
- The Atrium of Bellmead, LLC
- Mike Thompson
All providers in Bellmead, TX · Pediatric Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.