CHILDREN'S DENTAL HEALTH CENTER S.C. NPI 1710968086

NPI Information

CHILDREN'S DENTAL HEALTH CENTER, S.C. is a pediatric dentistry dentist in Appleton, WI. 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. CHILDREN'S DENTAL HEALTH CENTER, S.C. NPI is 1710968086. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

W3132 VAN ROY RD
APPLETON, WI
ZIP 54915-982
Phone: (920) 731-2566
Fax: (920) 731-7868

The provider's authorized official is Mark J Steinmetz .
The authorized official title is President and has the following contact phone number (920) 731-2566.

The enumeration date for this NPI number is 11/14/2005 and was last updated on 8/22/2020.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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