MEDICARE: PEDIATRIC DENTAL SPECIALISTS, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	18321	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0093EX	OTHER	TX	BLUE CROSS BLUE SHIELD
2	817302	OTHER	TX	UNITED CONCORDIA

General Provider Information

NPI Number	:	1154326486
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEDIATRIC DENTAL SPECIALISTS, PA

Provider Business Mailing Address
First Line	:	2921 N HERITAGE PARKWAY
Second Line	:	STE 100
City	:	SHERMAN
State	:	TX
Zip	:	75092
Country	:	US
Telephone Number	:	903-892-1200
Fax Number	:	903-813-1581

Provider Business Practice Location Address
First Line	:	2921 N HERITAGE PARKWAY
Second Line	:	STE 100
City	:	SHERMAN
State	:	TX
Zip	:	75092
Country	:	US
Telephone Number	:	903-892-1200
Fax Number	:	903-813-1581

Authorized Official
Title or Position	:	OWNER
Name	:	DR. BRIAN T HARRIS
Credential	:	DDS
Telephone Number	:	903-892-1200

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	02/04/2009

Similar Medicare Providers

1538055827 — CHLOE CHRISTINE APPLING BCABA
Practice Location Address:

2612 W LAMBERTH RD STE 100
SHERMAN, TX
75092-5181

Practice Phone: 254-249-6530
Practice Fax:

1851906457 — ERIKA BEARD
Practice Location Address:

2612 W LAMBERTH RD
SHERMAN, TX
75092-5179

Practice Phone: 254-249-6530
Practice Fax:

1255263331 — ELIZABETH MEGAN EIDSON RN
Practice Location Address:

724 N MCKOWN AVE
SHERMAN, TX
75092-5516

Practice Phone: 469-500-3380
Practice Fax:

1285442764 — SORAYA GOMEZ
Practice Location Address:

2612 W LAMBERTH RD STE 100
SHERMAN, TX
75092-5181

Practice Phone: 254-249-6530
Practice Fax: 903-200-1505

1639889108 — CHLOE SHARKER
Practice Location Address:

2612 W LAMBERTH RD STE 100
SHERMAN, TX
75092-5181

Practice Phone: 254-249-6530
Practice Fax: 903-200-1505

1861538985 — MINAXI RATHOD MD
Practice Location Address:

1810 W US HIGHWAY 82
SHERMAN, TX
75092-7069

Practice Phone: 903-870-2600
Practice Fax: 903-870-2601

Directions to “PEDIATRIC DENTAL SPECIALISTS, PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.