Organization · Type 2 NPI
Pediatric Dentristry of Mansfield,pllc
Pediatric Dentistry · Mansfield, TX
NPI number
1508133224
Active
Practice location
1830 E Broad St, STE104
Mansfield, TX 76063-9162
Fax (817) 473-2594
Mailing address
1830 E Broad St Ste 104
Mansfield, TX 76063-9161
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None 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.
Other pediatric dentistry providers in Mansfield
About NPI 1508133224
Pediatric Dentristry of Mansfield,pllc's National Provider Identifier is 1508133224, issued on Nov 23, 2011. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Mansfield, TX. The record was last updated on Dec 30, 2014.