RENNER CHILDREN'S DENTISTRY AND ORTHODONTICS NPI 1053756858

NPI Information

NPI: 1053756858
Provider Name: RENNER CHILDREN'S DENTISTRY AND ORTHODONTICS

Doing Business As: GROWING SMILES

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
3610 SHIRE BLVD STE 110
RICHARDSON, TX
ZIP 75082
Phone: (214) 697-4173
Get Directions

RENNER CHILDREN'S DENTISTRY AND ORTHODONTICS is a pediatric dentistry dentist in Richardson, TX. The provider is 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. RENNER CHILDREN'S DENTISTRY AND ORTHODONTICS NPI is 1053756858. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Growing Smiles.

The provider's business location address is:

3610 SHIRE BLVD STE 110
RICHARDSON, TX
ZIP 75082-239
Phone: (214) 697-4173

The provider's authorized official is Khaled Jadid .
The authorized official title is Dentist and has the following contact phone number (214) 697-4173.

The enumeration date for this NPI number is 5/7/2013 and was last updated on 5/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics			No
2	1223P0221X	Dentist	Pediatric Dentistry			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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