Organization · Type 2 NPI
Dentistry for Kids PLLC
Pediatric Dentistry · Pocatello, ID
NPI number
1679812002
Active
Practice location
625 E Alameda Rd.
Pocatello, ID 83201
Fax (208) 478-5097
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | D-3451-PD (ID) |
| Pediatric Dentistry | 1223P0221X | D-4186-PD (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.
Other pediatric dentistry providers in Pocatello
About NPI 1679812002
Dentistry for Kids PLLC's National Provider Identifier is 1679812002, issued on Feb 5, 2013. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Pocatello, ID. The record was last updated on Feb 5, 2013.