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PEDIATRIC DENTAL CARE PC NPI 1407031198


NPI Information

NPI: 1407031198
Provider Name: PEDIATRIC DENTAL CARE, PC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
9 BRUNSWICK WOODS DR
EAST BRUNSWICK, NJ
ZIP 08816
Phone: (732) 257-2936
Get Directions

PEDIATRIC DENTAL CARE, PC is a pediatric dentistry dentist in East Brunswick, NJ. 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, PC NPI is 1407031198. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9 BRUNSWICK WOODS DR
EAST BRUNSWICK, NJ
ZIP 08816-601
Phone: (732) 257-2936
Fax: (732) 254-5467

The provider's authorized official is Elton Chan .
The authorized official title is Owner and has the following contact phone number (732) 257-2936.

The enumeration date for this NPI number is 1/1/2008 and was last updated on 1/1/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry22DI02346200NEW JERSEYYes

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: 4/28/2024

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