institution
Progressive Pediatric Dentist Sc
Pediatric Dentist in Oak Creek, Wisconsin
NPI 1174638142

Progressive Pediatric Dentist Sc is a Pediatric Dentist based in Oak Creek, WI and is specialized in Pediatric Dentistry. Progressive Pediatric Dentist Sc practices in Oak Creek, WI. The NPI Number for Progressive Pediatric Dentist Sc is 1174638142 and holds a License No. 4919 (Wisconsin).

The current practice location address for Progressive Pediatric Dentist Sc is 8375 S Howell Ave, Oak Creek, WI and can be reached out via phone at 414-768-1020 and via fax at 414-768-8866.

Location: 8375 S Howell Ave, Oak Creek, WI, 53154-8344
institution
Provider Profile Details
NPI Number
1174638142
Provider Name
Progressive Pediatric Dentist Sc
Credential
Provider Entity Type
Organization
Address
8375 S Howell Ave, Oak Creek, WI, 53154-8344
Phone Number
414-768-1020
Fax Number
414-768-8866
Provider Enumeration Date
08/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38393100 05 WI
institution
Provider Business Practice Location Address Details
Address
8375 S Howell Ave
City
State
Zip
53154-8344
Phone Number
414-768-1020
Fax Number
414-768-8866
person
Provider Business Mailing Address Details
Address
8375 S Howell Ave
City
State
Zip
53154-8344
Phone Number
414-768-1020
Fax Number
414-768-8866
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
4919 (Wisconsin)
Definition
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.
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