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

Pediatric Dentistry of Colleyville, PA

Organization Dental Clinic/Center · NPI 1366708760

Pediatric Dentistry of Colleyville, PA is a Dental Clinic/Center in Colleyville, Texas. Licensed in Texas. Registered with an NPI since 2012.

Licensed in
TX
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4109 Brown Trl Ste 102
Colleyville, TX 76034-3998
Phone: (817) 428-7704
Fax: (817) 428-8919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 21802 (TX)
Dental Clinic/Center Taxonomy 261QD0000X (TX)

Record details

NPI number1366708760
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Loria Nahatis — Owner / Dentist · (817) 428-7704
NPI enumeratedApril 10, 2012
Last updated in NPPESApril 10, 2012
Mailing address4109 Brown Trl, Suite 102, Colleyville, TX 76034-3998

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