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

Waco Dental and Orthodontics, PLLC

Organization General Practice Dentistry · NPI 1114699089

Waco Dental and Orthodontics, PLLC provides General Practice Dentistry in Waco, Texas. Registered with an NPI since 2021.

In the registry since
2021
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

5201 Bosque Blvd Ste 200
Waco, TX 76710-4676
Phone: (817) 529-8151
Fax: (817) 928-1681
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1114699089
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raffy Kouyoumdjian — Owner · (818) 653-9799
Other names Rodeo Dental And Orthodontics
NPI enumeratedSeptember 29, 2021
Last updated in NPPESOctober 3, 2025
Certification dateOctober 3, 2025
Mailing address8505 Freeport Pkwy Ste 600, Irving, TX 75063-2549

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