Organization · Type 2 NPI

Knickerbocker Pediatric Dentistry LLC

Pediatric Dentistry · Dayton, OH

NPI number 1447617006 Active

Practice location

1 Childrens Plz
Dayton, OH 45404-1873

Call (937) 619-9828 Map

Mailing address

PO Box 752144
Dayton, OH 45475-2144

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X30-023424 (OH)

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 1447617006

Knickerbocker Pediatric Dentistry LLC's National Provider Identifier is 1447617006, issued on Jan 26, 2016. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Dayton, OH. The record was last updated on Jan 26, 2016.