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Knickerbocker Pediatric Dentistry Llc
Pediatric Dentist in Dayton, Ohio
NPI 1447617006

Knickerbocker Pediatric Dentistry Llc is a Pediatric Dentist based in Dayton, OH and is specialized in Pediatric Dentistry. Knickerbocker Pediatric Dentistry Llc practices in Dayton, OH. The NPI Number for Knickerbocker Pediatric Dentistry Llc is 1447617006 and holds a License No. 30-023424 (Ohio).

The current practice location address for Knickerbocker Pediatric Dentistry Llc is 1 Childrens Plz, Dayton, OH and can be reached out via phone at 937-619-9828. You can also correspond with Knickerbocker Pediatric Dentistry Llc through the mailing address at PO BOX 752144, DAYTON, OH - 45475-2144 (mailing address contact number: ).

Location: 1 Childrens Plz, Dayton, OH, 45475-2144
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447617006
Provider Name
Knickerbocker Pediatric Dentistry Llc
Credential
Provider Entity Type
Organization
Address
1 Childrens Plz, Dayton, OH, 45475-2144
Phone Number
937-619-9828
Fax Number
Provider Enumeration Date
01/26/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0054438 05 OH
institution
Provider Business Practice Location Address Details
Address
1 Childrens Plz
City
Dayton
State
Ohio
Zip
45404-1873
Phone Number
937-619-9828
Fax Number
person
Provider Business Mailing Address Details
Address
1 Childrens Plz
City
Dayton
State
Ohio
Zip
45404-1873
Phone Number
937-619-9828
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
30-023424 (Ohio)
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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