institution
Pediatric Dentistry
Pediatric Dentist in Concord, Massachusetts
NPI 1629055793

Pediatric Dentistry is a Pediatric Dentist based in Concord, MA and is specialized in Pediatric Dentistry. Pediatric Dentistry practices in Concord, MA. The NPI Number for Pediatric Dentistry is 1629055793 and holds a License No. 13469 (Massachusetts).

The current practice location address for Pediatric Dentistry is 290 Baker Ave, Concord, MA and can be reached out via phone at 978-369-7771 and via fax at 978-371-2031.

Location: 290 Baker Ave, Concord, MA, 01742-2189
institution
Provider Profile Details
NPI Number
1629055793
Provider Name
Pediatric Dentistry
Credential
Provider Entity Type
Organization
Address
290 Baker Ave, Concord, MA, 01742-2189
Phone Number
978-369-7771
Fax Number
978-371-2031
Provider Enumeration Date
12/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0296287 05 MA
institution
Provider Business Practice Location Address Details
Address
290 Baker Ave
City
State
Zip
01742-2189
Phone Number
978-369-7771
Fax Number
978-371-2031
person
Provider Business Mailing Address Details
Address
290 Baker Ave
City
State
Zip
01742-2189
Phone Number
978-369-7771
Fax Number
978-371-2031
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
13469 (Massachusetts)
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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