Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Children's Dental Services of Texas, PLLC

Organization Pediatric Dentistry · NPI 1699090100

Children's Dental Services of Texas, PLLC is a Pediatric Dentistry in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2010.

Licensed in
TX
In the registry since
2010
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4545 Bellaire Dr S Ste 4
Fort Worth, TX 76109-1811
Phone: (817) 731-8600
Fax: (817) 207-0719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X
Pediatric Dentistry Taxonomy 1223P0221X · Licence 20465 (TX)

Record details

NPI number1699090100
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Zimmerman — Owner · (817) 731-8600
NPI enumeratedMarch 29, 2010
Last updated in NPPESNovember 2, 2022
Certification dateNovember 2, 2022
Mailing addressPo Box 55367, Hurst, TX 76054-5367

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