Organization · Type 2 NPI
St. Croix Kidds Pediatric Dentistry
Pediatric Dentistry · White Bear Lake, MN
NPI number
1407131618
Active
Practice location
4951 Morehead Ave
White Bear Lake, MN 55110-2633
Mailing address
400 2nd St S, Suite 250
Hudson, WI 54016-4000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 6666-015 (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.
About NPI 1407131618
St. Croix Kidds Pediatric Dentistry's National Provider Identifier is 1407131618, issued on Oct 19, 2011. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in White Bear Lake, MN. The record was last updated on Oct 19, 2011.