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

Pediatric Dentristry of Mansfield, PLLC

Organization Pediatric Dentistry · NPI 1508133224

Pediatric Dentristry of Mansfield, PLLC is a Pediatric Dentistry in Mansfield, Texas. Registered with an NPI since 2011.

In the registry since
2011
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

1830 E Broad St STE104
Mansfield, TX 76063-9162
Phone: (817) 473-7171
Fax: (817) 473-2594
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 number1508133224
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deborah Sullivan — Owner · (817) 473-7171
NPI enumeratedNovember 23, 2011
Last updated in NPPESDecember 30, 2014
Mailing address1830 E Broad St Ste 104, Mansfield, TX 76063-9161

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