KOOL KIDZ PEDIATRIC DENTISTRY NPI 1225327430

NPI Information

KOOL KIDZ PEDIATRIC DENTISTRY is a pediatric dentistry dentist in Tampa, FL. 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. KOOL KIDZ PEDIATRIC DENTISTRY NPI is 1225327430. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7712 W WATERS AVE
TAMPA, FL
ZIP 33615-813
Phone: (813) 885-4501
Fax: (813) 885-5410

The provider's authorized official is Roxann Russell Aves .
The authorized official title is Ped. Dentist/managing Partner and has the following contact phone number (813) 885-4501.

The enumeration date for this NPI number is 3/29/2011 and was last updated on 3/29/2011.

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:

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