Organization · Type 2 NPI
Back Mountain Pediatric Dentistry
Pediatric Dentistry · Dallas, PA
NPI number
1013789452
Active
Practice location
3784 Yalick Plz Unit 1
Dallas, PA 18612-7719
Mailing address
126 Seneca Dr
Old Forge, PA 18518-1598
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
About NPI 1013789452
Back Mountain Pediatric Dentistry's National Provider Identifier is 1013789452, issued on Oct 30, 2023. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Dallas, PA. The record was last updated on Oct 30, 2023.