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

Pediatric Plastic Surgery, PLLC

Organization Plastic and Reconstructive Surgery Physician · NPI 1558419358

Pediatric Plastic Surgery, PLLC is a Plastic and Reconstructive Surgery Physician in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
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

7777 Forest Ln Ste C528
Dallas, TX 75230-6848
Phone: (972) 331-7711
Fax: (972) 331-1911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X (TX)

Record details

NPI number1558419358
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Juli Smiddy — Practice Administrator · (972) 331-7711
NPI enumeratedJanuary 8, 2007
Last updated in NPPESApril 16, 2021
Certification dateApril 16, 2021
Mailing address7777 Forest Ln Ste C528, Dallas, TX 75230-6848

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