Organization · Type 2 NPI

Family Pediatric Dental Specialists PLC

Pediatric Dentistry · Burnsville, MN

NPI number 1013017177 Active

Practice location

14336 Burnhaven Dr
Burnsville, MN 55306-4928

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	None listed

Pediatric Dentistry: 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.

Another provider at this address

Northland Dental Partners, PLLCPediatric Dentistry Burnsville, MN NPI 1477203826

Other pediatric dentistry providers in Burnsville

See all in Burnsville →

NPI record

NPI: 1013017177
Entity type: Organization (Type 2)
Issued: Sep 25, 2006
Last updated: Apr 27, 2022
Status: Active
Subpart: Yes of Family Pediatric Dental Specialists PLC

Other names

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Metro Dentalcare Children's Dentistry Burnsville · doing business as

Authorized official

Celia Hayes
Credentialing Coordinator
(217) 540-2100

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013017177

Family Pediatric Dental Specialists PLC's National Provider Identifier is 1013017177, issued on Sep 25, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Burnsville, MN. The record was last updated on Apr 27, 2022.