CANTON PEDIATRIC DENTAL CENTER LLC NPI 1588069587

NPI Information

NPI: 1588069587
Provider Name: CANTON PEDIATRIC DENTAL CENTER, LLC

Doing Business As: WOOSTER PEDIATRIC DENTAL CENTER

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
3582 CLEVELAND RD
WOOSTER, OH
ZIP 44691
Phone: (330) 601-1543
Get Directions

CANTON PEDIATRIC DENTAL CENTER, LLC is a dental clinic center in Wooster, OH. CANTON PEDIATRIC DENTAL CENTER, LLC NPI is 1588069587. The provider is registered as an organization entity type.
The provider Is Doing Business As Wooster Pediatric Dental Center.

The provider's business location address is:

3582 CLEVELAND RD
WOOSTER, OH
ZIP 44691-216
Phone: (330) 601-1543

The provider's authorized official is Safuratu Aranmolate .
The authorized official title is Pediatric Dentist/owner and has the following contact phone number (330) 601-1543.

The enumeration date for this NPI number is 11/3/2014 and was last updated on 11/3/2014.

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	261QD0000X	Clinic/Center	Dental	21981	OHIO	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: 4/28/2024

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