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VICTORIA KIDS DENTISTRY PLLC NPI 1861910341


NPI Information

NPI: 1861910341
Provider Name: VICTORIA KIDS DENTISTRY PLLC

Doing Business As: DR. WIEDENFELD DDS- CHILDREN'S DENTISTRY

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
101 PROFESSIONAL PARK DR
VICTORIA, TX
ZIP 77904
Phone: (361) 578-8800
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VICTORIA KIDS DENTISTRY PLLC is a pediatric dentistry dentist in Victoria, TX. 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. VICTORIA KIDS DENTISTRY PLLC NPI is 1861910341. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dr. Wiedenfeld Dds- Children's Dentistry.

The provider's business location address is:

101 PROFESSIONAL PARK DR
VICTORIA, TX
ZIP 77904-351
Phone: (361) 578-8800

The provider's authorized official is Amanda Saiz .
The authorized official title is Credentialing Specialist and has the following contact phone number (254) 338-1468.

The enumeration date for this NPI number is 9/5/2017 and was last updated on 7/21/2022.


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 DentistryYes

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: 5/5/2024

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