DOGWOOD PEDIATRIC DENTISTRY OF POOLER LLC NPI 1396474458

NPI Information

NPI: 1396474458
Provider Name: DOGWOOD PEDIATRIC DENTISTRY OF POOLER, LLC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
100 BLUE MOON XING STE 105
POOLER, GA
ZIP 31322
Phone: (912) 661-1391
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DOGWOOD PEDIATRIC DENTISTRY OF POOLER, LLC is a pediatric dentistry dentist in Pooler, GA. 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. DOGWOOD PEDIATRIC DENTISTRY OF POOLER, LLC NPI is 1396474458. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 BLUE MOON XING STE 105
POOLER, GA
ZIP 31322-809
Phone: (912) 661-1391

The provider's authorized official is Karen Stevens .
The authorized official title is Office Manager and has the following contact phone number (912) 661-1391.

The enumeration date for this NPI number is 6/6/2022 and was last updated on 6/16/2022.

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			Yes

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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