OrganizationActive
Pediatric Dentristry of Mansfield,pllc
NPI 1508133224 · Pediatric Dentistry · Mansfield, TX
Pediatric Dentristry of Mansfield,pllc is a Pediatric Dentistry organization in Mansfield, TX (NPI 1508133224).
Provider details
- NPI number
- 1508133224
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Deborah Sullivan, Owner(817) 473-7171
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1830 E Broad St
Ste104
Mansfield, TX 76063-9162
Phone: (817) 473-7171
Fax: (817) 473-2594
Street-level locationGet directions
Mailing address
1830 E Broad St Ste 104
Mansfield, TX 76063-9161
Registry dates
- Enumerated
- 2011-11-23
- Last updated
- 2014-12-30
Frequently asked questions
- What is Pediatric Dentristry of Mansfield,pllc's NPI number?
- Pediatric Dentristry of Mansfield,pllc's National Provider Identifier (NPI) is 1508133224, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Dentristry of Mansfield,pllc?
- Pediatric Dentristry of Mansfield,pllc is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Pediatric Dentristry of Mansfield,pllc located?
- Pediatric Dentristry of Mansfield,pllc's practice location on file with NPPES is 1830 E Broad St, Mansfield, TX 76063-9162.
- What is Pediatric Dentristry of Mansfield,pllc's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Dentristry of Mansfield,pllc is (817) 473-7171.
- Who is the authorized official for Pediatric Dentristry of Mansfield,pllc?
- The authorized official listed on Pediatric Dentristry of Mansfield,pllc's NPPES record is Deborah Sullivan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Dentristry of Mansfield,pllc's NPI active?
- Yes — Pediatric Dentristry of Mansfield,pllc's NPI (1508133224) is active in the NPPES registry as of the last update on 2014-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.