SMITH PEDIATRIC DENTISTRY INC. NPI 1346499142

NPI Information

SMITH PEDIATRIC DENTISTRY, INC. is a pediatric dentistry dentist in Middleburg Hts., OH. 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. SMITH PEDIATRIC DENTISTRY, INC. NPI is 1346499142. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pediatric Dentistry, Inc..

The provider's business location address is:

15380 E BAGLEY RD
MIDDLEBURG HTS., OH
ZIP 44130
Phone: (440) 888-6300
Fax: (440) 888-6329

The provider's authorized official is John Michael Smith .
The authorized official title is President and has the following contact phone number (440) 888-6300.

The CLIA number assigned to this NPI record is 36D2123168 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/17/2008 and was last updated on 9/17/2008.

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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