Organization · Type 2 NPI
The Loose Tooth Pediatric Dentistry
Pediatric Dentistry · Plainfield, IL
NPI number
1023430360
Active
Practice location
15041 S Van Dyke Rd, Suite 105
Plainfield, IL 60544-5805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 019027249 (IL) |
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 1023430360
The Loose Tooth Pediatric Dentistry's National Provider Identifier is 1023430360, issued on Jan 6, 2014. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Plainfield, IL. The record was last updated on Mar 24, 2015.