Organization
Georgetown Pediatric Dentistry, LLC
Provider's NPPES record last updated: December 21, 2023
Overview
- Entity Type
- Organization
- NPI
- 1851567499
- Primary Specialty
- Dentist — Pediatric Dentistry
- Practice Location
- Georgetown, Texas
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 3:35 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Dentist
Pediatric Dentistry
Dental Providers
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Taxonomy code 1223P0221X Dentist
Orthodontics and Dentofacial Orthopedics
Dental Providers
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Taxonomy code 1223X0400X
Provider-Reported License Information
- Dentist (Texas)
- 23759
- Dentist (Texas)
- 22754
- Dentist (Texas)
- 16755
Practice Locations
Practice Location
4507 Williams Drive
Georgetown, Texas 78633
Phone: (512) 869-4100
Additional Practice Location
1009 W Business 190 Ste 108
Copperas Cove, Texas 76522-3836
Phone: (254) 238-5234
Fax: (254) 238-5233
Other Names
- Cove Pediatric Dentistry & OrthodonticsReported March 26, 2014
- Cove Pediatric Dentistry & OrthodonticsReported December 21, 2023
Record Information
- Enumeration Date
- May 4, 2008
- Provider's NPPES Record Last Updated
- December 21, 2023
- Certification Date
- December 21, 2023
- NPISignal NPPES Dataset
- August 2026
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