Organization · Type 2 NPI

Kids Dental Place

Pediatric Dentistry · Crestview, FL

NPI number 1093401101 Active

Practice location

101 4th Ave Ste B
Crestview, FL 32539-2401

Mailing address

3201 E Olive Rd Ste B
Pensacola, FL 32514-7237

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone 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.

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About NPI 1093401101

Kids Dental Place's National Provider Identifier is 1093401101, issued on Apr 12, 2023. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Crestview, FL. The record was last updated on Apr 12, 2023.