Organization · Type 2 NPI

Kids Dental Village

Pediatric Dentistry · Woodside, NY

NPI number 1023264645 Active

Practice location

3905 61st St, 2nd Floor
Woodside, NY 11377-3566

Mailing address

39-05 61st Street, 2nd Floor
Woodside, NY 11377-3566

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X052251 (NY)

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.

7 other providers at this address

About NPI 1023264645

Kids Dental Village's National Provider Identifier is 1023264645, issued on Aug 14, 2008. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Woodside, NY. The record was last updated on Aug 14, 2008.