Organization · Type 2 NPI
Commonwealth Pediatric Dental
Pediatric Dentistry · Raynham, MA
NPI number
1073853289
Active
Practice location
302 Broadway Unit 1
Raynham, MA 02767-1439
Fax (508) 884-4003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | DN1855240 (MA) |
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
About NPI 1073853289
Commonwealth Pediatric Dental's National Provider Identifier is 1073853289, issued on Feb 25, 2013. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Raynham, MA. The record was last updated on Feb 25, 2013.