Nacogdoches Pediatric Dentistry is a Dental Clinic in Nacogdoches, Texas. It is located at 1602 E Starr Ave, Suite 203, Nacogdoches, TX and its contact number is 936-559-7200. The authorized person for Nacogdoches Pediatric Dentistry is Dr. Jennfier Criss
who is President of the clinic and their contact number is 936-559-7200. The primary license number for Nacogdoches Pediatric Dentistry is 21417 (Pediatric Dentistry) in Texas. Nacogdoches Pediatric Dentistry Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Nacogdoches 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:
Nacogdoches Pediatric Dentistry
Specialization:
General Practice Dentistry
Clinic Address:
1602 E Starr Ave, Suite 203, Nacogdoches, Texas, 75961-4312
Phone:
936-559-7200
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. Jennfier Criss
Position:
President
Contact Number:
936-559-7200
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 Nacogdoches Pediatric Dentistry clinic are as mentioned below.
NPI Number:
1407234248
NPI Enumeration Date:
13 May, 2015
NPI Last Update On:
13 May, 2015
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nacogdoches Pediatric Dentistry are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
21417
Texas
Primary
General Practice
21417
Texas
Secondary
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
16283102
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:
Nacogdoches Pediatric Dentistry 1602 E Starr Ave, Suite 203 Nacogdoches, Texas
Zip:
75961-4312
Phone Number:
936-559-7200
Patients can reach Nacogdoches Pediatric Dentistry at 1602 E Starr Ave, Suite 203, Nacogdoches, Texas or can call to book an appointment on 936-559-7200. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.