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

Lance Gabriel Rivera

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457050163

Lance Gabriel Rivera is a Student in an Organized Health Care Education/Training Program in Waxahachie, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2023
Specialties on file
2

Practice location Address checks out

2171 N Highway 77
Waxahachie, TX 75165-6215
Phone: (469) 589-5303
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 41818 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1457050163
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 2, 2023
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025
Mailing address2750 N Haskell Ave Apt 1314, Dallas, TX 75204-0421

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