Organization · Type 2 NPI

Prime Pediatric Dental Group PA

Pediatric Dentistry · Hollywood, FL

NPI number 1316763519 Active

Practice location

4919 Sheridan St Unit 50-51
Hollywood, FL 33021-2823

Mailing address

13757 SW 152nd St
Miami, FL 33177-8125

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 1316763519

Prime Pediatric Dental Group PA's National Provider Identifier is 1316763519, issued on Dec 3, 2024. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Hollywood, FL. The record was last updated on Dec 3, 2024.