AFFILIATED PEDIATRIC DENTISTS PA NPI 1548426422

NPI Information

AFFILIATED PEDIATRIC DENTISTS PA is a pediatric dentistry dentist in Burnsville, MN. 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. AFFILIATED PEDIATRIC DENTISTS PA NPI is 1548426422. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Dentistry For Children & Adolescents.

The provider's business location address is:

14050 NICOLLET AVENUE SOUTH
SUITE 100
BURNSVILLE, MN
ZIP 55337-737
Phone: (952) 435-4102
Fax: (952) 435-8925

The provider's authorized official is Mark Edward Greenwood .
The authorized official title is Treasurer and has the following contact phone number (952) 831-4400.

The enumeration date for this NPI number is 7/31/2008 and was last updated on 7/31/2008.

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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