Organization · Type 2 NPI
Northwest Pediatric Dental LLC
Pediatric Dentistry · St. John, IN
NPI number
1982433819
Active
Practice location
8217 Wicker Ave
St. John, IN 46373
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | None listed |
| 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.
4 other providers at this address
About NPI 1982433819
Northwest Pediatric Dental LLC's National Provider Identifier is 1982433819, issued on Jul 30, 2024. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in St. John, IN. The record was last updated on Sep 18, 2026.