Pediatric Dental Care Pc, Inc in Port Matilda - Pediatric Dentistry
Pediatric Dental Care Pc, Inc - NPI 1972673010
Pediatric Dental Care Pc, Inc is a Pediatric Dentistry in Port Matilda, Pennsylvania. Pediatric Dental Care Pc, Inc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Pediatric Dental Care Pc, Inc is 1972673010. The last update date is 2016-02-15.
Pediatric Dental Care Pc, Inc's current location address is 1019 Ghaner Rd Ste 100, Port Matilda, Pennsylvania. You can contact this provider via phone number 8142387120 and fax number 8142382981. The mailing address for Pediatric Dental Care Pc, Inc is 1019 Ghaner Rd Ste 100, Port Matilda, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Dental Care Pc, Inc |
|---|---|
| Address | 1019 Ghaner Rd Ste 100, Port Matilda, Pennsylvania |
| Phone Number | 8142387120 |
| Fax Number | 8142382981 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Kilareski L Robert |
| Credentials | DDS |
| Telephone Number | 8142387120 |
NPI Number Detail
| NPI Number | 1972673010 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2016-02-15 |
Provider Mailing Address Detail
| Address | 1019 Ghaner Rd Ste 100 |
|---|---|
| City | Port Matilda |
| State | Pennsylvania (PA) |
| Post Code | 168707201 |
| Phone Number | 8142387120 |
| Fax Number | 8142382981 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DS-019843-L |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1015435680001 | PA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Pediatric Dental Care Pc, Inc?
The Pediatric Dental Care Pc, Inc has been issued the NPI (National Provider Identifier) 1972673010 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Pediatric Dental Care Pc, Inc is geographically located?
The Pediatric Dental Care Pc, Inc is physically situated at the following location: 1019 Ghaner Rd Ste 100, Port Matilda, PA, 168707201.
What is Pediatric Dental Care Pc, Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Pediatric Dental Care Pc, Inc's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
When did Pediatric Dental Care Pc, Inc receive its 1972673010 assignment?
The Pediatric Dental Care Pc, Inc was assigned its 1972673010 on 2006-11-08, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Pediatric Dental Care Pc, Inc last refreshed?
The information related to the Pediatric Dental Care Pc, Inc, including its address, specialty, and other relevant details, was last updated on 2016-02-15.
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