Pediatric Dental Care, Inc. in Dyer - Pediatric Dentistry

Pediatric Dental Care, Inc. - NPI 1598963639

Pediatric Dental Care, Inc. is a Pediatric Dentistry in Dyer, Indiana. Pediatric Dental Care, Inc. practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Pediatric Dental Care, Inc. is 1598963639. The last update date is 2007-07-10.

Pediatric Dental Care, Inc.'s current location address is 1160 Joliet St, Dyer, Indiana. You can contact this provider via phone number 2193227610 and fax number 2193227611. The mailing address for Pediatric Dental Care, Inc. is 1160 Joliet St, Dyer, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pediatric Dental Care, Inc.
Address 1160 Joliet St, Dyer, Indiana
Phone Number 2193227610
Fax Number 2193227611
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PEDIATRIC
Authorized Official Name Karr M Lynn
Credentials DDS
Telephone Number 2193227610

NPI Number Detail

NPI Number 1598963639
Provider Enumeration Date 2007-07-10
Last Updated Date 2007-07-10

Provider Mailing Address Detail

Address 1160 Joliet St
City Dyer
State Indiana (IN)
Post Code 463112096
Phone Number 2193227610
Fax Number 2193227611

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 12010182A
Definition:
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.

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FAQs about Pediatric Dental Care, Inc.

What is the unique 10-digit identifier code issued to Pediatric Dental Care, Inc. by the Centers for Medicare & Medicaid Services?

The Pediatric Dental Care, Inc. has been assigned the NPI (National Provider Identifier) 1598963639 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Pediatric Dental Care, Inc. is physically located?

The Pediatric Dental Care, Inc. is physically situated at the following address: 1160 Joliet St, Dyer, IN, 463112096.

What is Pediatric Dental Care, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Pediatric Dental Care, Inc. is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1598963639 to Pediatric Dental Care, Inc.?

The Centers for Medicare & Medicaid Services originally issued the 1598963639 to Pediatric Dental Care, Inc. on 2007-07-10.

As of what date were the details pertaining to Pediatric Dental Care, Inc. last refreshed?

The information related to the Pediatric Dental Care, Inc., including its address, specialty, and other relevant details, was last updated on 2007-07-10.

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