NPI 1003031527

Pediatric Dental Associates, LLP

Organisation Pediatric Dentistry Longview, TX

Practice location

Address: 5 Doctor Cir, Longview, TX 75605-5050
Phone: (903) 758-6406
Fax: (903) 758-8116

Authorised official

Name: Jason R Horne
Title: Owner
Phone: (903) 758-6406

Registered specialties (3)

Pediatric Dentistry Primary

Dental Providers Taxonomy 1223P0221X Licence 18784 (TX)

Other Dentist providers in Texas →

Pediatric Dentistry

Dental Providers Taxonomy 1223P0221X Licence 20796 (TX)

Pediatric Dentistry

Dental Providers Taxonomy 1223P0221X Licence 13954 (TX)

Registry record

NPI: 1003031527
Entity type: Organization
NPI issued: 17 Apr 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.