institution
Adolescent & Pediactric Dentistry P.c.
Pediatric Dentist in Muncie, Indiana
NPI 1184882219

Adolescent & Pediactric Dentistry P.c. is a Pediatric Dentist based in Muncie, IN and is specialized in Pediatric Dentistry. Adolescent & Pediactric Dentistry P.c. practices in Muncie, IN. The NPI Number for Adolescent & Pediactric Dentistry P.c. is 1184882219 and holds a License No. 12010472A (Indiana).

The current practice location address for Adolescent & Pediactric Dentistry P.c. is 610 S Tillotson Ave Ste 205, Muncie, IN and can be reached out via phone at 765-288-5527 and via fax at 765-288-6119. You can also correspond with Adolescent & Pediactric Dentistry P.c. through the mailing address at 610 S TILLOTSON AVE STE 205, MUNCIE, IN - 47304-4450 (mailing address contact number: 765-288-5527).

Location: 610 S Tillotson Ave Ste 205, Muncie, IN, 47304-4450
institution
Provider Profile Details
NPI Number
1184882219
Provider Name
Adolescent & Pediactric Dentistry P.c.
Credential
Provider Entity Type
Organization
Address
610 S Tillotson Ave Ste 205, Muncie, IN, 47304-4450
Phone Number
765-288-5527
Fax Number
765-288-6119
Provider Enumeration Date
05/27/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200408960A 05 IN
institution
Provider Business Practice Location Address Details
Address
610 S Tillotson Ave Ste 205
City
State
Zip
47304-4450
Phone Number
765-288-5527
Fax Number
765-288-6119
person
Provider Business Mailing Address Details
Address
610 S Tillotson Ave Ste 205
City
State
Zip
47304-4450
Phone Number
765-288-5527
Fax Number
765-288-6119
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
12010472A (Indiana)
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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