KID'S FIRST PEDIATRIC DENTISTRY PC NPI 1710495874

NPI Information

NPI: 1710495874
Provider Name: KID'S FIRST PEDIATRIC DENTISTRY PC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
3778 DIX HWY
LINCOLN PARK, MI
ZIP 48146
Phone: (313) 386-0570
Get Directions

KID'S FIRST PEDIATRIC DENTISTRY PC is a pediatric dentistry dentist in Lincoln Park, MI. 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. KID'S FIRST PEDIATRIC DENTISTRY PC NPI is 1710495874. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3778 DIX HWY
LINCOLN PARK, MI
ZIP 48146-807
Phone: (313) 386-0570

The provider's authorized official is Caitlin Corum .
The authorized official title is Assistant/front Desk and has the following contact phone number (313) 386-0570.

The enumeration date for this NPI number is 1/11/2018 and was last updated on 9/27/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	2901022062	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	VS0034738	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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