Organization · Type 2 NPI

Progressive Pediatric Dentist SC

Pediatric Dentistry · Oak Creek, WI

NPI number 1174638142 Active

Practice location

8375 S Howell Ave, #201
Oak Creek, WI 53154-8344

Call (414) 768-1020 Map

Fax (414) 768-8866

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X4919 (WI)

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.

17 other providers at this address

About NPI 1174638142

Progressive Pediatric Dentist SC's National Provider Identifier is 1174638142, issued on Aug 20, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Oak Creek, WI. The record was last updated on Mar 10, 2010.