TLC Dental, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

TLC DENTAL, PLLC

Doing business as

TLC Pediatric Dentistry & Orthodontics

Practice address

4701 183A Toll Rd Ste A400
Cedar Park, TX 78613-0123

Phone

(512) 593-7998

Fax

(512) 717-3396

NPI assigned

Dec 31, 2024

Last updated

Dec 31, 2024By 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

Daniel Crandall Johnson, DDSNPI 1619250123

Title

Owner/Pediatric Dentist

Phone

(512) 593-7998

Specialties & licenses 1

Addresses

Other names 1

• TLC Pediatric Dentistry & Orthodontics 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.

• Daniel C Johnson, DDS

  • Pediatric Dentistry
  • Austin, TX
  • NPI 1619250123
  NPD Authorized official

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

{
    "created_epoch": "1735603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1285443705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 183A TOLL RD STE A400",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786130123",
            "telephone_number": "512-593-7998",
            "fax_number": "512-717-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 183A TOLL RD STE A400",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786130123",
            "telephone_number": "512-593-7998",
            "fax_number": "512-717-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-31",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "CRANDALL",
        "authorized_official_title_or_position": "OWNER/PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "512-593-7998",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC Pediatric Dentistry & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Ray Tillman, MPT, CSCS, CERT, MDT
• Michelle L Tilton
• Timberland Medical Group
• Timberland Medical Group
• De'John L Tinsley, RBT-23-311294
• TLC Pediatric Dentistry PLLC
• Jorge G Tobar, MD
• Samira M Toloue, DDS, MSD
• Alisha Torres, FNP
• Ana Margarita Torres, D.D.S.

• Pediatric Dentistry in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.