Organization · Type 2 NPI

Alligator Pediatric Dentistry ,pllc

Pediatric Dentistry · Ammon, ID

NPI number 1679747588 Active

Practice location

2805 Eagle Drive
Ammon, ID 83406

Fax (208) 552-7296

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XD3257PD (ID)

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 1679747588

Alligator Pediatric Dentistry ,pllc's National Provider Identifier is 1679747588, issued on Apr 22, 2008. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Ammon, ID. The record was last updated on Apr 8, 2024.