FAMILY PEDIATRIC DENTAL SPECIALISTS PLC NPI 1013017177

NPI Information

FAMILY PEDIATRIC DENTAL SPECIALISTS PLC is a pediatric dentistry dentist in Richfield, MN. 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. FAMILY PEDIATRIC DENTAL SPECIALISTS PLC NPI is 1013017177. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6601 LYNDALE AVE S
SUITE 220
RICHFIELD, MN
ZIP 55423-477
Phone: (612) 861-9123

The provider's authorized official is Kris Palmer .
The authorized official title is Credentialing Specialist and has the following contact phone number (612) 861-9109.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 8/22/2020.

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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