Marble Falls Pediatric Dentistry PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

MARBLE FALLS PEDIATRIC DENTISTRY PLLC

Practice address

608 Gateway Central
Suite 201
Marble Falls, TX 78654-6354

Phone

(830) 428-2255

NPI assigned

Jun 8, 2015

Organization subpart

No

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

Authorized official

Name

Carly Aly

Title

Regional Manager

Phone

(936) 419-3235

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1467832014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 GATEWAY CENTRAL",
            "address_2": "SUITE 201",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786546354",
            "telephone_number": "830-428-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 GATEWAY CENTRAL",
            "address_2": "SUITE 201",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786546354",
            "telephone_number": "830-428-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARBLE FALLS PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "ALY",
        "authorized_official_first_name": "CARLY",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "936-419-3235"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marble Falls Area Emergency Medical Services Inc
• Marble Falls ASC LLC
• Marble Falls Family Dental PLLC
• Marble Falls Imaging Center LP
• Marble Falls Independent School District
• Marble Falls Primary Care, PLLC
• Mark Malone MD PA
• Mark Maloy Krause
• Angel Markham
• Todd H Martin, M.D.

• Pediatric Dentistry in Marble Falls, TX
• Providers in Marble Falls, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.