Organization
PEDIATRIC DENTAL PROFESSIONALS, PLLC
Active
Other names
Pediatric Dental Professionals, Apex Dental Partners
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LIGHTFOOT (AUTHORIZED REPRESENTATIVE)
(214) 702-0708
Entity
Organization
Contact information
Practice address
9015 MOUNTAIN RIDGE DR STE 320, AUSTIN, TX 78759-8488
(512) 846-7507
Mailing address
15660 DALLAS PKWY STE 950, DALLAS, TX 75248-3309
(214) 702-0729
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
01/28/2026
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