CEDAR RAPIDS PEDIATRIC DENTISTRY LLC NPI 1043755408

NPI Information

CEDAR RAPIDS PEDIATRIC DENTISTRY LLC is a pediatric dentistry dentist in Cedar Rapids, IA. 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. CEDAR RAPIDS PEDIATRIC DENTISTRY LLC NPI is 1043755408. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Cedar Rapids Pediatric Dentistry Pc.

The provider's business location address is:

1962 1ST AVE NE
CEDAR RAPIDS PEDIATRIC DENTISTRY
CEDAR RAPIDS, IA
ZIP 52402-330
Phone: (319) 364-2413

The provider's authorized official is Sarah E Swenson .
The authorized official title is Manager and has the following contact phone number (319) 364-2413.

The enumeration date for this NPI number is 12/21/2016 and was last updated on 12/21/2016.

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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