Organization · Type 2 NPI

Riverdale Pediatric Dentistry P.a.

Pediatric Dentistry · Coon Rapids, MN

NPI number 1053690198 Active

Practice location

3585 124th Ave NW, Ste 400
Coon Rapids, MN 55433-1006

Fax (763) 767-1528

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XD11365 (MN)

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.

2 other providers at this address

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About NPI 1053690198

Riverdale Pediatric Dentistry P.a.'s National Provider Identifier is 1053690198, issued on Aug 7, 2011. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Coon Rapids, MN. The record was last updated on Aug 7, 2011.