PEDIATRIC DENTAL CARE NPI 1265730535

NPI Information

  • NPI: 1265730535
  • Provider Name: PEDIATRIC DENTAL CARE
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Other Name: PEDIATRIC DENTAL CARE OF BERKS COUNTY
  • Address: 344 N WYOMISSING BLVD
    WYOMISSING, PA
    ZIP 19610
  • Phone: (610) 375-3844

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NPI Details

PEDIATRIC DENTAL CARE is a pediatric dentistry dentist in Wyomissing, PA. 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 CARE NPI is 1265730535. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Pediatric Dental Care Of Berks County.

The provider's business location address is:

344 N WYOMISSING BLVD
WYOMISSING, PA
ZIP 19610-936
Phone: (610) 375-3844

The provider's authorized official is Preciosa Perez .
The authorized official title is Owner and has the following contact phone number (610) 375-3844.

The enumeration date for this NPI number is 3/10/2011 and was last updated on 3/10/2011.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentistDS031182LPENNSYLVANIANo
21223P0221XDentistPediatric DentistryDS035069PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1001781306-0009MEDICAIDPENNSYLVANIA
2001883048-0002MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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