FREDERICK KIDDS PEDIATRIC DENTISTRY LLC NPI 1043694623

NPI Information

FREDERICK KIDDS PEDIATRIC DENTISTRY LLC is a pediatric dentistry dentist in Frederick, MD. 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. FREDERICK KIDDS PEDIATRIC DENTISTRY LLC NPI is 1043694623. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

211 SHOREBIRD ST STE B
FREDERICK, MD
ZIP 21701-963
Phone: (301) 202-5041

The provider's authorized official is D'audra Cole .
The authorized official title is Dentist/owner and has the following contact phone number (301) 202-5041.

The CLIA number assigned to this NPI record is 21D0666322 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/14/2015 and was last updated on 7/14/2015.

Taxonomy Codes

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Other Identifiers

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