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Pediatric Dentistry Of Prospect
Pediatric Dentist in Jeffersonville, Indiana
NPI 1275906901

Pediatric Dentistry Of Prospect is a Pediatric Dentist based in Jeffersonville, IN and is specialized in Pediatric Dentistry. Pediatric Dentistry Of Prospect practices in Jeffersonville, IN. The NPI Number for Pediatric Dentistry Of Prospect is 1275906901 and holds a License No. 12011253A (Indiana).

The current practice location address for Pediatric Dentistry Of Prospect is 900 Spring St Ste B, Jeffersonville, IN and can be reached out via phone at 812-288-8131 and via fax at 812-280-7184.

Location: 900 Spring St Ste B, Jeffersonville, IN, 47130-3676
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275906901
Provider Name
Pediatric Dentistry Of Prospect
Credential
Provider Entity Type
Organization
Address
900 Spring St Ste B, Jeffersonville, IN, 47130-3676
Phone Number
812-288-8131
Fax Number
812-280-7184
Provider Enumeration Date
11/03/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
900 Spring St Ste B
City
Jeffersonville
State
Indiana
Zip
47130-3676
Phone Number
812-288-8131
Fax Number
812-280-7184
person
Provider Business Mailing Address Details
Address
900 Spring St Ste B
City
Jeffersonville
State
Indiana
Zip
47130-3676
Phone Number
812-288-8131
Fax Number
812-280-7184
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
12011253A (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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