Organization · Type 2 NPI

Pediatric Dentistry Inc

Pediatric Dentistry · Fort Wayne, IN

NPI number 1104859701 Active

Practice location

7750 West Jefferson Blvd
Fort Wayne, IN 46804-4136

Call (260) 459-0903 Map

Fax (260) 459-0673

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X54000382A (IN)

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 1104859701

Pediatric Dentistry Inc's National Provider Identifier is 1104859701, issued on Jul 8, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Fort Wayne, IN. The record was last updated on Aug 22, 2020.