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

Shine Pediatric Dental Co

Organization Pediatric Dentistry · NPI 1548977895

Shine Pediatric Dental Co is a Pediatric Dentistry in Round Rock, Texas. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

2631 Gattis School Rd
Round Rock, TX 78664-2821
Phone: (512) 698-8766
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 number1548977895
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sarah Severson — Owner · (512) 698-8766
NPI enumeratedNovember 4, 2022
Last updated in NPPESNovember 4, 2022
Certification dateNovember 4, 2022
Mailing address608 Twelve Oaks Ln, Austin, TX 78704-6355

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