NPI age
3 years
Enumerated 2023-03-30
● Active Type 2 · Organization
Specialty Pediatric Dentistry, Pc
Specialty Pediatric Dentistry, Pc is 1 of 1797 dentist organizations in Texas.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fields
Credentialing Specialist
Last NPPES update
2023-03-30
Source: monthly bulk 2026-05
How this organization compares
Across 1797 active dentist providers in Texas.
NPI age
3 years
↓ 11 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-03Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
3313 Ranch Road 620 S Ste 300
Lakeway, TX 787386871
Mailing address
1500 S A W Grimes Blvd Ste 190
Round Rock, TX 786647843
Authorized official
Serenthes Fields
Credentialing Specialist
📞 6785992333
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Corey Romero, DDS Dentist NPI 1891289179
Specialties
-
Dentist PrimaryAn 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.
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.