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Pediatric Dental Specilaist, P.c
Pediatric Dentist in Port Huron, Michigan
NPI 1255063244

Pediatric Dental Specilaist, P.c is a Pediatric Dentist based in Port Huron, MI and is specialized in Pediatric Dentistry. Pediatric Dental Specilaist, P.c practices in Port Huron, MI. The NPI Number for Pediatric Dental Specilaist, P.c is 1255063244 and holds a License No. (Michigan).

The current practice location address for Pediatric Dental Specilaist, P.c is 1026 Superior St, Port Huron, MI and can be reached out via phone at 810-987-5040 and via fax at 810-987-9499.

Location: 1026 Superior St, Port Huron, MI, 48060-3748
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255063244
Provider Name
Pediatric Dental Specilaist, P.c
Credential
Provider Entity Type
Organization
Address
1026 Superior St, Port Huron, MI, 48060-3748
Phone Number
810-987-5040
Fax Number
810-987-9499
Provider Enumeration Date
06/28/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4032586 05 MI
institution
Provider Business Practice Location Address Details
Address
1026 Superior St
City
Port Huron
State
Michigan
Zip
48060-3748
Phone Number
810-987-5040
Fax Number
810-987-9499
person
Provider Business Mailing Address Details
Address
1026 Superior St
City
Port Huron
State
Michigan
Zip
48060-3748
Phone Number
810-987-5040
Fax Number
810-987-9499
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
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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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