institution
Dr.sivakumar Pediatric Dental Center Llc
Pediatric Dentist in Frederick, Maryland
NPI 1649441494

Dr.sivakumar Pediatric Dental Center Llc is a Pediatric Dentist based in Frederick, MD and is specialized in Pediatric Dentistry. Dr.sivakumar Pediatric Dental Center Llc practices in Frederick, MD. The NPI Number for Dr.sivakumar Pediatric Dental Center Llc is 1649441494 and holds a License No. 13749 (Maryland).

The current practice location address for Dr.sivakumar Pediatric Dental Center Llc is 57A Thomas Johnson Dr, Frederick, MD and can be reached out via phone at 301-631-0501 and via fax at 301-631-0601.

Location: 57A Thomas Johnson Dr, Frederick, MD, 21702-4301
institution
Provider Profile Details
NPI Number
1649441494
Provider Name
Dr.sivakumar Pediatric Dental Center Llc
Credential
Provider Entity Type
Organization
Address
57A Thomas Johnson Dr, Frederick, MD, 21702-4301
Phone Number
301-631-0501
Fax Number
301-631-0601
Provider Enumeration Date
03/20/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1164405767 01 MD INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
57A Thomas Johnson Dr
City
State
Zip
21702-4301
Phone Number
301-631-0501
Fax Number
301-631-0601
person
Provider Business Mailing Address Details
Address
57A Thomas Johnson Dr
City
State
Zip
21702-4301
Phone Number
301-631-0501
Fax Number
301-631-0601
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
13749 (Maryland)
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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