Amarillo Pediatric Dentistry is a Pediatric Dental Clinic in Amarillo, Texas. It is located at 2455 W Interstate 40, Amarillo, TX and its contact number is 806-350-5437. The authorized person for Amarillo Pediatric Dentistry is Dr. Shane L Moore
who is Owner of the clinic and their contact number is 806-350-5437. The primary license number for Amarillo Pediatric Dentistry is 18661 (Pediatric Dentistry) in Texas. Amarillo Pediatric Dentistry Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Amarillo Pediatric Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Amarillo Pediatric Dentistry
Specialization:
Pediatric Dentistry
Clinic Address:
2455 W Interstate 40, Amarillo, Texas, 79109-1852
Phone:
806-350-5437
Fax:
806-350-5438
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Shane L Moore
Position:
Owner
Contact Number:
806-350-5437
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Amarillo Pediatric Dentistry clinic are as mentioned below.
NPI Number:
1073614772
NPI Enumeration Date:
26 Sep, 2006
NPI Last Update On:
01 May, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Amarillo Pediatric Dentistry are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
18661
Texas
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0042NQ
Other
Texas
Blue Cross Blue Shield
177133901
Medicaid
Texas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Amarillo Pediatric Dentistry 2455 W Interstate 40, Amarillo, Texas
Zip:
79109-1852
Phone Number:
806-350-5437
Fax Number:
806-350-5438
Patients can reach Amarillo Pediatric Dentistry at 2455 W Interstate 40, Amarillo, Texas or can call to book an appointment on 806-350-5437. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.