Individual provider · Type 1 NPI

Kristofer Paul Sivanich, DDS

Pediatric Dentistry · Fort Hood, TX

NPI number 1285945089 Active

Practice location

4431 68th St
Fort Hood, TX 76544-5042

Mailing address

36014 Wratten Dr, Fort Hood Dentac
Fort Hood, TX 76544

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XD12836 (MN)
Pediatric Dentistry 1223P0221X26295 (TX)

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.

21 other providers at this address

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About NPI 1285945089

Kristofer Paul Sivanich, DDS's National Provider Identifier is 1285945089, issued on Jun 25, 2010. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Fort Hood, TX. The record was last updated on Oct 19, 2016.