Pediatric Dentistry, Ltd. in Providence - Pediatric Dentistry
Pediatric Dentistry, Ltd. - NPI 1063545143
Pediatric Dentistry, Ltd. is a Pediatric Dentistry in Providence, Rhode Island. Pediatric Dentistry, Ltd. practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Pediatric Dentistry, Ltd. is 1063545143. The last update date is 2020-08-22.
Pediatric Dentistry, Ltd.'s current location address is 245 Laurel Ave, Providence, Rhode Island. You can contact this provider via phone number 4019437535. The mailing address for Pediatric Dentistry, Ltd. is 245 Laurel Ave, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Dentistry, Ltd. |
|---|---|
| Address | 245 Laurel Ave, Providence, Rhode Island |
| Phone Number | 4019437535 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PEDIATRIC |
|---|---|
| Authorized Official Name | Lasser Dennis Steven |
| Credentials | D.M.D. |
| Telephone Number | 4019437535 |
NPI Number Detail
| NPI Number | 1063545143 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 245 Laurel Ave |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29065730 |
| Phone Number | 4019437535 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 1726 |
|
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 |
|---|---|---|---|
| PD-00520 | RI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Pediatric Dentistry, Ltd. by the Centers for Medicare & Medicaid Services?
The Pediatric Dentistry, Ltd. has been issued the NPI (National Provider Identifier) 1063545143. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Pediatric Dentistry, Ltd. located?
The Pediatric Dentistry, Ltd. is located at 245 Laurel Ave, Providence, RI 29065730.
What is Pediatric Dentistry, Ltd.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Pediatric Dentistry, Ltd.'s specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
When did Pediatric Dentistry, Ltd. receive its 1063545143 assignment?
The Pediatric Dentistry, Ltd. was assigned its 1063545143 on 2007-03-14, which is the date when this unique identifier was issued to the organization.
When was the Pediatric Dentistry, Ltd.'s information last updated?
The Pediatric Dentistry, Ltd.'s information was last updated on 2020-08-22.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC