is a Pediatric Dental Clinic in Spring Branch, Texas. This organization is also known as sub part of Children's Dental Ark. It is located at 19750 State Hwy 46 W, Ste. 105, Spring Branch, TX and its contact number is 830-625-1222. The authorized person for is Mrs. Cheryl Stasny Sellers
who is President of the clinic and their contact number is 830-625-1234. The primary license number for is 11935 (Pediatric Dentistry) in Texas. 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:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
Pediatric Dentistry
Clinic Address:
19750 State Hwy 46 W, Ste. 105, Spring Branch, Texas, 78070-6881
Phone:
830-625-1222
Fax:
830-625-3266
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:
Mrs. Cheryl Stasny Sellers
Position:
President
Contact Number:
830-625-1234
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 clinic are as mentioned below.
NPI Number:
1811249659
Parent Organization:
Children's Dental Ark
NPI Enumeration Date:
03 Oct, 2012
NPI Last Update On:
03 Oct, 2012
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
11935
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
160235101
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:
610 Landa St., New Braunfels, Texas
Zip:
78130-6112
Phone Number:
830-625-1234
Fax Number:
830-625-3266
Patients can reach at 19750 State Hwy 46 W, Ste. 105, Spring Branch, Texas or can call to book an appointment on 830-625-1222. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.