Organization · Type 2 NPI
Wise Dentistry for Kids, PSC
Pediatric Dentistry · Campbellsville, KY
NPI number
1790075166
Active
Practice location
105 Medical Park Dr, Suite 1
Campbellsville, KY 42718-9622
Fax (270) 469-1405
Mailing address
105 Medical Park Drive, Suite 1
Campbellsville, KY 42718
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 8254 (KY) |
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.
2 other providers at this address
Other pediatric dentistry providers in Campbellsville
About NPI 1790075166
Wise Dentistry for Kids, PSC's National Provider Identifier is 1790075166, issued on Apr 19, 2011. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Campbellsville, KY. The record was last updated on Apr 19, 2011.