PEDIATRIC DENTAL ASSOCIATES NPI 1306033188

NPI Information

NPI: 1306033188
Provider Name: PEDIATRIC DENTAL ASSOCIATES
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
10407 GRAND RIVER RD
600
BRIGHTON, MI
ZIP 48116
Phone: (810) 227-9015
Get Directions

PEDIATRIC DENTAL ASSOCIATES is a pediatric dentistry dentist in Brighton, MI. 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 NPI is 1306033188. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10407 GRAND RIVER RD
600
BRIGHTON, MI
ZIP 48116-532
Phone: (810) 227-9015
Fax: (810) 227-6940

The provider's authorized official is Kevin Joseph Hale .
The authorized official title is President and has the following contact phone number (810) 227-9015.

The enumeration date for this NPI number is 9/26/2007 and was last updated on 9/26/2007.

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
1	1223P0221X	Dentist	Pediatric Dentistry			Yes

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: 5/5/2024

NPI Synchronization or Removal

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