The Kids Dentist in West Springfield - Pediatric Dentistry
The Kids Dentist - NPI 1417162918
The Kids Dentist is a Pediatric Dentistry in West Springfield, Massachusetts. The Kids Dentist practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for The Kids Dentist is 1417162918. The last update date is 2020-08-22.
The Kids Dentist's current location address is 232 Park Street, West Springfield, Massachusetts. You can contact this provider via phone number 4137372200 and fax number 4137468581. The mailing address for The Kids Dentist is 232 Park Street, West Springfield, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Kids Dentist |
|---|---|
| Address | 232 Park Street, West Springfield, Massachusetts |
| Phone Number | 4137372200 |
| Fax Number | 4137468581 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Matthews L Robert |
| Credentials | DMD |
| Telephone Number | 4137372200 |
NPI Number Detail
| NPI Number | 1417162918 |
|---|---|
| Provider Enumeration Date | 2007-05-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 232 Park Street |
|---|---|
| City | West Springfield |
| State | Massachusetts (MA) |
| Post Code | 10893314 |
| Phone Number | 4137372200 |
| Fax Number | 4137468581 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 19482 |
|
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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Post Comment/ Review Below
What is the The Kids Dentist's 1417162918?
The The Kids Dentist's NPI (National Provider Identifier) Number is 1417162918. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where The Kids Dentist's facilities are situated?
The facilities of The Kids Dentist are physically located at the following address: 232 Park Street, West Springfield, MA, 10893314.
What is The Kids Dentist's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for The Kids Dentist is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417162918 to The Kids Dentist?
The Centers for Medicare & Medicaid Services assigned the 1417162918 to The Kids Dentist on 2007-05-10.
As of what date was the information regarding The Kids Dentist, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to The Kids Dentist, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.