Pediatric Dental Care is a Pediatric Dental Clinic in Winona, Minnesota. It is located at 150 E 4th St, Winona, MN and its contact number is 507-452-1543. The authorized person for Pediatric Dental Care is Dr. Christopher E Carroll
who is Owner of the clinic and their contact number is 507-452-1543. The primary license number for Pediatric Dental Care is 8405 (Pediatric Dentistry) in Minnesota. Pediatric Dental Care 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:
Pediatric Dental Care Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Pediatric Dental Care
Specialization:
Pediatric Dentistry
Clinic Address:
150 E 4th St, Winona, Minnesota, 55987-3512
Phone:
507-452-1543
Fax:
507-452-6874
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. Christopher E Carroll
Position:
Owner
Contact Number:
507-452-1543
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 Pediatric Dental Care clinic are as mentioned below.
NPI Number:
1275756488
NPI Enumeration Date:
10 Apr, 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 Pediatric Dental Care are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
8405
Minnesota
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
4822990
Other
Minnesota
Mn Tax Id
33461700
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Pediatric Dental Care 150 E 4th St, Winona, Minnesota
Zip:
55987-3512
Phone Number:
507-452-1543
Fax Number:
507-452-6874
Patients can reach Pediatric Dental Care at 150 E 4th St, Winona, Minnesota or can call to book an appointment on 507-452-1543. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.