Individual provider · Type 1 NPI
Jinaki Kianga Stallworth, DDS
Pediatric Dentistry · New, NY
NPI number
1871804740
Active
Practice location
133 Morningside Ave
New, NY 10030
Mailing address
2111 5th Ave Apt 1
New York, NY 10035-1032
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 056036 (NY) |
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 1871804740
Jinaki Kianga Stallworth, DDS's National Provider Identifier is 1871804740, issued on Jun 25, 2010. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in New, NY. The record was last updated on Feb 23, 2017.