Organization · Type 2 NPI
Capital Dentistry for Children LLC
Pediatric Dentistry · Jefferson City, MO
NPI number
1740627447
Active
Practice location
931 Wildwood Dr Ste 104
Jefferson City, MO 65109-5719
Mailing address
1000 W. Nifong Blvd., Bldg 6, Suite 130
Columbia, MO 65203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 016056 (MO) |
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.
About NPI 1740627447
Capital Dentistry for Children LLC's National Provider Identifier is 1740627447, issued on Jun 4, 2013. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Jefferson City, MO. The record was last updated on Jun 4, 2013.