Individual provider · Type 1 NPI

Lucely Santillan

Pediatric Dentistry · Dallas, TX

NPI number 1962085704 Active

Practice location

1935 Medical District Dr
Dallas, TX 75235-7701

Call (214) 456-2735 Map

Mailing address

4880 N President George Bush Hwy # 104
Garland, TX 75040-2742

Other practice locations

  • 4880 N President George Bush Hwy # 104, Garland, TX 75040-2742 · (972) 364-7472

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X37665 (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.

1,160 other providers at this address

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About NPI 1962085704

Lucely Santillan's National Provider Identifier is 1962085704, issued on Apr 29, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Dallas, TX. The record was last updated on Jan 13, 2026.