Dentini Pediatric Dentistry II, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

DENTINI PEDIATRIC DENTISTRY II, PLLC

Doing business as

Dentini Pediatric Dentistry

Practice address

6115 Edloe St Ste a
Houston, TX 77005-2807

Phone

(713) 242-1288

NPI assigned

Feb 11, 2021

Last updated

Feb 11, 2021By 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

Elizabeth BricenoNPI 1558523373

Title

Owner

Phone

(786) 553-0771

Specialties & licenses 1

Addresses

Other names 1

• Dentini 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.

• Elizabeth Nicole Briceno, DMD

  • Dentist
  • Houston, TX
  • NPI 1558523373
  NPD Authorized official

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1558953448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 EDLOE ST STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770052807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 EDLOE ST STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770052807",
            "telephone_number": "713-242-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTINI PEDIATRIC DENTISTRY II, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "BRICENO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-553-0771"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentini Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.