Organization · Type 2 NPI

The Children's Tooth Spa Ii, P.c.

Pediatric Dentistry · Chester, PA

NPI number 1750119194 Active

Practice location

1420 Providence Ave
Chester, PA 19013-5715

Call (267) 296-1010 Map

Fax (267) 296-1012

Mailing address

801 N 2nd St Frnt 2
Philadelphia, PA 19123-3090

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.

NPI record

NPI: 1750119194
Entity type: Organization (Type 2)
Issued: Jul 25, 2024
Last updated: Dec 3, 2024
Status: Active

Other names

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The Children's Tooth Spa · doing business as
The Children's Tooth Spa · doing business as

Authorized official

Dr. Jennifer Rose Pinero, DMD
President/ceo
(267) 353-4180

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1750119194

The Children's Tooth Spa Ii, P.c.'s National Provider Identifier is 1750119194, issued on Jul 25, 2024. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Chester, PA. The record was last updated on Dec 3, 2024.