Anna Pediatric Dentistry PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

ANNA PEDIATRIC DENTISTRY PLLC

Practice address

2016 W White St # 300
Anna, TX 75409-5171

Phone

(214) 636-0001

NPI assigned

Jul 8, 2021

Last updated

Jul 27, 2022By 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

Scott William Ludlow, DDS

Title

Partner

Phone

(214) 636-0001

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1881265148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 W WHITE ST # 300",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "754095171",
            "telephone_number": "214-636-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 W WHITE ST # 300",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "754095171",
            "telephone_number": "214-636-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-08",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "LUDLOW",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "214-636-0001",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285615502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Bluebonnet Dental PLLC (Bluebonnet Dental)
• Anna Dental
• Anna Dental Wellness PLLC (Dental Wellness of Anna)
• Anna Eyecare, PA
• Anna Isd
• Anna Texas Homecare LLC
• Anointed Hands Dispatch Service LLC
• Xyruz Polmar Galo Apostol, PT
• Arctic Bracing LLC
• Atulo HC LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.