Individual provider · Type 1 NPI
Lance Gabriel Rivera
Pediatric Dentistry · Waxahachie, TX
NPI number
1457050163
Active
Practice location
2171 N Highway 77
Waxahachie, TX 75165-6215
Mailing address
2750 N Haskell Ave Apt 1314
Dallas, TX 75204-0421
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Pediatric Dentistry Primary | 1223P0221X | 41818 (TX) |
Pediatric Dentistry: 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.
Another provider at this address
Other pediatric dentistry providers in Waxahachie
About NPI 1457050163
Lance Gabriel Rivera's National Provider Identifier is 1457050163, issued on Mar 2, 2023. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Waxahachie, TX. The record was last updated on Jul 24, 2025.