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NPI Code Detail

MEDICARE: DENTISTRY FOR KIDS

MEDICARE: DENTISTRY FOR KIDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0221XPediatric Dentistry

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1168120OTHERPAUNITED CONCORDIA NUMBER

General Provider Information

NPI Number : 1811042625
Entity Type Code : Organization
Provider Name (Legal Business Name) : DENTISTRY FOR KIDS
Provider Business Mailing Address
First Line : 2790 MOSSIDE BLVD
Second Line : SUITE 140
City : MONROEVILLE
State : PA
Zip : 15146-2743
Country : US
Telephone Number : 412-856-6660
Fax Number : 412-856-1463
Provider Business Practice Location Address
First Line : 2790 MOSSIDE BLVD
Second Line : SUITE 140
City : MONROEVILLE
State : PA
Zip : 15146-2743
Country : US
Telephone Number : 412-856-6660
Fax Number : 412-856-1463
Authorized Official
Title or Position : VICE PRESIDENT
Name : MATTHEW J PRICE
Credential : DDS
Telephone Number : 412-856-6660
Provider Enumeration Date : 01/24/2007
Last Update Date : 10/29/2009

Similar Medicare Providers

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1932102886 — AMY APEL
Practice Location Address:
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1457344640 — JEFFREY G WEAVER DO
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2790 MOSSIDE BLVD , SUITE 105
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1740244110 — CHILDRENS COMMUNITY PEDIATRICS
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Directions to “DENTISTRY FOR KIDS ” Practice Location

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