Children's Dentistry is a Pediatric Dental Clinic in Charleston, West Virginia. It is located at 1400 Kanawha Blvd E, Charleston, WV and its contact number is 304-345-0541. The authorized person for Children's Dentistry is Dr. Tracy Lynn Wilkerson
who is Pediatric Specialist of the clinic and their contact number is 304-345-0541. The primary license number for Children's Dentistry is 3529 (Pediatric Dentistry) in West Virginia. Children's Dentistry Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Children's Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Children's Dentistry
Specialization:
Pediatric Dentistry
Clinic Address:
1400 Kanawha Blvd E, Charleston, West Virginia, 25301-3002
Phone:
304-345-0541
Fax:
304-345-8718
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Tracy Lynn Wilkerson
Position:
Pediatric Specialist
Contact Number:
304-345-0541
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Children's Dentistry clinic are as mentioned below.
NPI Number:
1760501001
NPI Enumeration Date:
28 Mar, 2007
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Children's Dentistry are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
3529
West Virginia
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1528024460
Other
West Virginia
Individual Npi
4005111000
Medicaid
West Virginia
3810005586
Medicaid
West Virginia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Children's Dentistry 1400 Kanawha Blvd E, Charleston, West Virginia
Zip:
25301-3002
Phone Number:
304-345-0541
Fax Number:
304-345-8718
Patients can reach Children's Dentistry at 1400 Kanawha Blvd E, Charleston, West Virginia or can call to book an appointment on 304-345-0541. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.