Healthcare Provider Details

I. General information

NPI: 1386572154
Provider Name (Legal Business Name): CEDAR HILL TINY TEETH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 N HIGHWAY 67 STE 100
CEDAR HILL TX
75104-2136
US

IV. Provider business mailing address

5217 TENNYSON PKWY STE 500
PLANO TX
75024-4125
US

V. Phone/Fax

Practice location:
  • Phone: 214-273-5437
  • Fax:
Mailing address:
  • Phone: 469-649-1009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES SLAUGHTER III
Title or Position: PEDIATRIC DENTIST/CEO
Credential: DDS
Phone: 469-207-0302