Organization · Type 2 NPI
Katahdin Pediatric Dentistry
Pediatric Dentistry · Bangor, ME
NPI number
1013274067
Active
Practice location
24 Penn Plz
Bangor, ME 04401-3620
Fax (207) 947-5237
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 4096 (ME) |
| Pediatric Dentistry | 1223P0221X | 3063 (ME) |
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.
3 other providers at this address
Other pediatric dentistry providers in Bangor
About NPI 1013274067
Katahdin Pediatric Dentistry's National Provider Identifier is 1013274067, issued on Apr 16, 2012. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Bangor, ME. The record was last updated on Nov 10, 2016.