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

Live Oak Pediatric Dentistry

Organization Pediatric Dentistry · NPI 1932813219

Live Oak Pediatric Dentistry is a Pediatric Dentistry in Live Oak, Texas. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

8056 Shin Oak Dr Ste 200
Live Oak, TX 78233-2957
Phone: (210) 441-3360
Fax: (210) 441-3387
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1932813219
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerame Hafen — Owner · (210) 845-8831
Other names Olympia Hills Junior Pediatric Dental
NPI enumeratedJanuary 10, 2023
Last updated in NPPESJanuary 27, 2025
Certification dateJanuary 27, 2025
Mailing address8056 Shin Oak Dr Ste 200, Live Oak, TX 78233-2957