Organization · Type 2 NPI
Medicaid Dentistry of Daytona LLC
Pediatric Dentistry · Daytona Beach, FL
NPI number
1326470436
Active
Practice location
1021 South Ridgewood Ave
Daytona Beach, FL 32114
Fax (386) 304-1899
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | None listed |
| Pediatric Dentistry Primary | 1223P0221X | DN13783 (FL) |
| Pediatric Dentistry | 1223P0221X | DN18742 (FL) |
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.
Other pediatric dentistry providers in Daytona Beach
About NPI 1326470436
Medicaid Dentistry of Daytona LLC's National Provider Identifier is 1326470436, issued on Jul 31, 2013. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Daytona Beach, FL. The record was last updated on May 21, 2018.