Dallas Pediatric Dentistry, PA

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

20235 Issued in TX

Legal business name

DALLAS PEDIATRIC DENTISTRY, PA

Doing business as

Plano Pediatric Dentistry

Practice address

400 Maplelawn CT
Suite 103
Plano, TX 75075-5736

Phone

(972) 612-2200

NPI assigned

Jun 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sandra McDougalNPI 1730197898

Title

President

Phone

(972) 612-2200

Specialties & licenses 1

Addresses

Other names 1

• Plano Pediatric Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sandra Kaye McDougal, DDS

  • Pediatric Dentistry
  • Plano, TX
  • NPI 1730197898
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184826067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2681",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750912681",
            "telephone_number": "972-612-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MAPLELAWN CT",
            "address_2": "SUITE 103",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750755736",
            "telephone_number": "972-612-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS PEDIATRIC DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCDOUGAL",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-612-2200",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "20235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plano Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dallas Vamc
• Dallas-Fort Worth Spine Institute, LLC
• Aimi N Dalness, PA-C

• Pediatric Dentistry in Plano, TX
• Providers in Plano, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.