CHILDRENS DENTAL SPECIALIST NPI 1598273393

NPI Information

  • NPI: 1598273393
  • Provider Name: CHILDRENS DENTAL SPECIALIST
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 803 W GARDNER DR
    MARION, IN
    ZIP 46952
  • Phone: (765) 664-0587

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NPI Details

CHILDRENS DENTAL SPECIALIST is a pediatric dentistry dentist in Marion, IN. 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. CHILDRENS DENTAL SPECIALIST NPI is 1598273393. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

803 W GARDNER DR
MARION, IN
ZIP 46952-819
Phone: (765) 664-0587

The provider's authorized official is Alice M. Butterworth .
The authorized official title is Owner and has the following contact phone number (765) 664-0587.

The enumeration date for this NPI number is 1/15/2018 and was last updated on 1/15/2018.

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 Dentistry12007455AINDIANAYes

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: 11/21/2025

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