# KIDS DENTAL & ORTHODONTICS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598021966
- **Authorized official:** DR. GEORGE LUIKHAM (DDS)
- **Authorized official phone:** (956) 783-7070

## Contact information

- **Practice address:** 1618 N. I ROAD SUITE A, SAN JUAN, TX 78589
- **Practice address phone:** (956) 783-7070
- **Mailing address:** 1618 N. I ROAD SUITE A, SAN JUAN, TX 78589
- **Mailing address phone:** (956) 783-7070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 26420 | TX | Yes |

## Other

- **Enumeration date:** 04/10/2012
- **Last updated:** 04/10/2012