PEDIATRIC DENTAL ASSOCIATES OF WEST CHESTER NPI 1518912831

NPI Information

PEDIATRIC DENTAL ASSOCIATES OF WEST CHESTER is a pediatric dentistry dentist in West Chester, OH. 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. PEDIATRIC DENTAL ASSOCIATES OF WEST CHESTER NPI is 1518912831. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9215 CINCINNATI COLUMBUS RD
WEST CHESTER, OH
ZIP 45069-143
Phone: (513) 777-2313
Fax: (513) 779-5942

The provider's authorized official is Eric John Koren .
The authorized official title is Officer and has the following contact phone number (513) 777-2313.

The CLIA number assigned to this NPI record is 36D0345359 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 8/20/2008.

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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