Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Children's Dental Services of Texas, PLLC

Organization Pediatric Dentistry · NPI 1699090100

Children's Dental Services of Texas, PLLC provides Pediatric Dentistry in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2010.

Licensed in
TX
In the registry since
2010
Specialties on file
2
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

4545 Bellaire Dr S Ste 4
Fort Worth, TX 76109-1811
Phone: (817) 731-8600
Fax: (817) 207-0719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X
Pediatric Dentistry Taxonomy 1223P0221X · Licence 20465 (TX)

Record details

NPI number1699090100
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Zimmerman — Owner · (817) 731-8600
NPI enumeratedMarch 29, 2010
Last updated in NPPESNovember 2, 2022
Certification dateNovember 2, 2022
Mailing addressPo Box 55367, Hurst, TX 76054-5367

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