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PMAK CHILDREN'S DENTAL LLC NPI 1093145872


NPI Information

NPI: 1093145872
Provider Name: PMAK CHILDREN'S DENTAL, LLC

Doing Business As: PEDIATRIC DENTISTRY

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
1517 POND RD
SUITE 201
ALLENTOWN, PA
ZIP 18104
Phone: (610) 395-4800
Get Directions

PMAK CHILDREN'S DENTAL, LLC is a pediatric dentistry dentist in Allentown, PA. The provider is 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. PMAK CHILDREN'S DENTAL, LLC NPI is 1093145872. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pediatric Dentistry.

The provider's business location address is:

1517 POND RD
SUITE 201
ALLENTOWN, PA
ZIP 18104-253
Phone: (610) 395-4800
Fax: (610) 395-7080

The provider's authorized official is Phillip Knight Brinton .
The authorized official title is Owner and has the following contact phone number (646) 592-2320.

The enumeration date for this NPI number is 11/15/2013 and was last updated on 11/15/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric DentistryDS038628PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11025976520008MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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