Individual provider · Type 1 NPI
Kenneth L. Miniman, DDS
Pediatric Dentistry · Media, PA
NPI number
1699845586
Active
Practice location
1022 East Baltimore Pk
Media, PA 19063-5122
Fax (610) 565-8626
Mailing address
1022 E Baltimore Pike
Media, PA 19063-5122
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | DS019654L (PA) |
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 Media
About NPI 1699845586
Kenneth L. Miniman, DDS's National Provider Identifier is 1699845586, issued on Nov 8, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Media, PA. The record was last updated on Jul 8, 2007.