OrganizationActive
Ivory Pediatric Dental
NPI 1790408227 · Pediatric Dentistry · Aledo, TX
Provider details
- NPI number
- 1790408227
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Adrienne Archidiacono, Practice Owner/Pediatric Dentist(817) 406-2025
Specialties & taxonomies
Dental Providers
Practice location
311 S Fm 1187 Ste 300
Aledo, TX 76008-6452
Phone: (817) 406-2025
Approximate (ZIP-level) locationGet directions
Mailing address
311 S Fm 1187 Ste 300
Aledo, TX 76008-6452
Registry dates
- Enumerated
- 2022-09-20
- Last updated
- 2022-09-20
- Certified
- 2022-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.