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CHILDREN'S DENTAL ARK NPI 1811249659


NPI Information

NPI: 1811249659
Provider Name: CHILDREN'S DENTAL ARK

Doing Business As: CHERYL SELLERS DDS PA DBA CHILDREN'S DENTAL ARK

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
19750 STATE HWY 46 W
STE. 105
SPRING BRANCH, TX
ZIP 78070
Phone: (830) 625-1222
Get Directions

CHILDREN'S DENTAL ARK is a pediatric dentistry dentist in Spring Branch, 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. CHILDREN'S DENTAL ARK NPI is 1811249659. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cheryl Sellers Dds Pa Dba Children's Dental Ark.

The provider's business location address is:

19750 STATE HWY 46 W
STE. 105
SPRING BRANCH, TX
ZIP 78070-881
Phone: (830) 625-1222
Fax: (830) 625-3266

The provider's authorized official is Cheryl Stasny Sellers .
The authorized official title is President and has the following contact phone number (830) 625-1234.

The enumeration date for this NPI number is 10/3/2012 and was last updated on 10/3/2012.


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
11223P0221XDentistPediatric Dentistry11935TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1160235101MEDICAIDTEXAS

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

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