Organization · Type 2 NPI

Waterford Childrens Dentistry SC

Pediatric Dentistry · Waterford, WI

NPI number 1982385944 Active

Practice location

790 Cornerstone Xing
Waterford, WI 53185-4582

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.

Another provider at this address

Emily Jess KriegerGeneral Practice Dentistry Waterford, WI NPI 1316795123

NPI record

NPI: 1982385944
Entity type: Organization (Type 2)
Issued: Jul 31, 2023
Last updated: Jul 31, 2023
Status: Active
Subpart: Yes of Paramount Pediatric Dentistry SC

Other names

Paramount Pediatric Dentistry · former legal business name
Waterford Childrens Dentistry SC · former legal business name
Paramount Pediatric Dentistry · other name

Authorized official

Christy Frady, DMD
Owner
(414) 350-0945

Verify this record

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 1982385944

Waterford Childrens Dentistry SC's National Provider Identifier is 1982385944, issued on Jul 31, 2023. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Waterford, WI. The record was last updated on Jul 31, 2023.