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Pediatric Dentistry
Pediatric Dentist in Glens Falls, New York
NPI 1407993611

Pediatric Dentistry is a Pediatric Dentist based in Glens Falls, NY and is specialized in Pediatric Dentistry. Pediatric Dentistry practices in Glens Falls, NY. The NPI Number for Pediatric Dentistry is 1407993611 and holds a License No. (New York).

The current practice location address for Pediatric Dentistry is 88 Broad Street, Glens Falls, NY and can be reached out via phone at 518-798-9966 and via fax at 518-798-0616.

Location: 88 Broad Street, Glens Falls, NY, 12801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407993611
Provider Name
Pediatric Dentistry
Credential
Provider Entity Type
Organization
Address
88 Broad Street, Glens Falls, NY, 12801
Phone Number
518-798-9966
Fax Number
518-798-0616
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q428 01 NY CDPHP
X00129970 01 NY EXCELLUS
816446 01 NY UNITED CONCORDIA
105880 01 NY DORAL DENTAL
institution
Provider Business Practice Location Address Details
Address
88 Broad Street
City
Glens Falls
State
New York
Zip
12801
Phone Number
518-798-9966
Fax Number
518-798-0616
person
Provider Business Mailing Address Details
Address
88 Broad Street
City
Glens Falls
State
New York
Zip
12801
Phone Number
518-798-9966
Fax Number
518-798-0616
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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