Pediatric Dentistry of Denton PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PEDIATRIC DENTISTRY OF DENTON PLLC

Practice address

2185 Brinker Rd Ste 110
Denton, TX 76208-6999

Phone

(940) 222-4589

NPI assigned

Oct 10, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Rex Gibson, DDS

Title

Owner

Phone

(541) 408-1057

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1821713181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185 BRINKER RD STE 110",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762086999",
            "telephone_number": "940-222-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2185 BRINKER RD STE 110",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762086999",
            "telephone_number": "940-222-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY OF DENTON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "REX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-408-1057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rgibsondds@gmail.com",
            "affiliation": "N",
            "address_1": "2803 N Loy Lake Rd",
            "city": "Sherman",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750901726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alissa Nicole Pearson, MMFT, LPC
• Payton Peauroi, DPT
• Pecan Branch Counseling, PLLC
• Rebecca Sharon Pedersen, MSN, APRN PMHNP-BC
• Pediatric Dentistry of Denton
• Pediatric Therapy, Inc.
• Pediatric Therapy, Inc.
• Pediatric Urgent Care of Denton, LP
• Mark David Pedigo, PA-C
• Pedro E. Estorque Jr., M.D., P.a.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.