Home
/
Specialty
/
Pediatric Dentistry (Dentist)
/
TX
/
NPI 1003031527
● Active Type 2 · Organization
Pediatric Dental Associates, Llp
Pediatric Dentistry (Dentist) · Longview, TX · NPI 1003031527
·
Enumerated 2007 · 19 years on NPI
Pediatric Dental Associates, Llp is 1 of 1,837 pediatric dentistry (dentist) organizations in Texas.
NPI age
19 years
Enumerated 2007-04-17
Primary specialty
Pediatric Dentistry (Dentist)
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Horne
Owner
Last NPPES update
2020-08-22
Source: CMS NPPES provider record
How this organization compares
Across 1837 active pediatric dentistry (dentist) providers in Texas.
NPI age
19 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2007 → 2020
2007-04 Enumerated in NPPES
2007
2020
Where they practice
Primary practice location
5 Doctor Cir
Longview, TX 756055050
📞 9037586406 fax 9037588116
Mailing address
5 Doctor Cir
Longview, TX 756055050
📞 9037586406 fax 9037588116
Authorized official
Jason R Horne, D.D.S
Owner
📞 9037586406
Other providers sharing this address
4 individual providers use this same primary NPPES address. Address matching does not prove employment or organizational affiliation.
Specialties
Dentist
Primary
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
TX license #18784 TX license #20796 TX license #13954 taxonomy 1223P0221X
Practice context
Shared NPPES address.
4 individual providers use this primary address. This does not prove employment or affiliation.
Provyx · Custom healthcare lists
Need all 1837 Pediatric Dentistry (Dentist) providers in Texas?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →
How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Provider record updated 2020-08-22
· Source: CMS NPPES bulk export. Check the linked CMS record for the latest source entry.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.
Report incorrect information .