Organization · Type 2 NPI
Smiles 4 Kids Jackson LLC
Pediatric Dentistry · Jackson, WY
NPI number
1184999542
Active
Practice location
1315 S Hwy 89, Suite 102
Jackson, WY 83001-8514
Mailing address
PO Box 191
Iona, ID 83427-0191
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 1361 (WY) |
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 1184999542
Smiles 4 Kids Jackson LLC's National Provider Identifier is 1184999542, issued on Mar 19, 2012. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Jackson, WY. The record was last updated on Apr 9, 2015.