TALLAHASSEE PEDIATRIC DENTISTRY is a pediatric dentistry dentist in Tallahassee, FL. The provider is 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. TALLAHASSEE PEDIATRIC DENTISTRY NPI is 1336697226. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
2304 KILLEARN CENTER BLVD
TALLAHASSEE, FL
ZIP 32309-580
Phone: (850) 666-5365
Fax: (850) 666-5365
The provider's authorized official is Shawn Hanway .
The authorized official title is Owner/pediatric Dentist and has the following contact phone number (850) 597-0573.
The CLIA number assigned to this NPI record is 10D1092283 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/20/2016 and was last updated on 9/20/2016.