LOAN S. MAO DDS PC NPI 1568736429

NPI Information

  • NPI: 1568736429
  • Provider Name: LOAN S. MAO, DDS PC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Doing Business As: MT. KISCO PEDIATRIC DENTISTRY
  • Address: 105 S BEDFORD RD
    315
    MOUNT KISCO, NY
    ZIP 10549
  • Phone: (510) 725-2172

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NPI Details

LOAN S. MAO, DDS PC is a pediatric dentistry dentist in Mount Kisco, NY. 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. LOAN S. MAO, DDS PC NPI is 1568736429. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mt. Kisco Pediatric Dentistry.

The provider's business location address is:

105 S BEDFORD RD
315
MOUNT KISCO, NY
ZIP 10549-441
Phone: (510) 725-2172

The provider's authorized official is Loan S Mao .
The authorized official title is Dentist and has the following contact phone number (510) 725-2172.

The enumeration date for this NPI number is 2/23/2012 and was last updated on 2/23/2012.

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
11223P0221XDentistPediatric Dentistry054287NEW YORKYes

What is NPI?

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This page was last updated on: 11/21/2025

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