Frederick Kidds Pediatric Dentistry Llc is a Pediatric Dental Clinic in Frederick, Maryland. It is located at 211 Shorebird St Ste B, Frederick, MD and its contact number is 301-202-5041. The authorized person for Frederick Kidds Pediatric Dentistry Llc is D'audra Cole
who is Dentist/owner of the clinic and their contact number is 301-202-5041. The primary license number for Frederick Kidds Pediatric Dentistry Llc is 14079 (Pediatric Dentistry) in Maryland. Frederick Kidds Pediatric Dentistry Llc 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:
Frederick Kidds Pediatric Dentistry Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Frederick Kidds Pediatric Dentistry Llc
Specialization:
Pediatric Dentistry
Clinic Address:
211 Shorebird St Ste B, Frederick, Maryland, 21701-1963
Phone:
301-202-5041
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:
D'audra Cole
Position:
Dentist/owner
Contact Number:
301-202-5041
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 Frederick Kidds Pediatric Dentistry Llc clinic are as mentioned below.
NPI Number:
1043694623
NPI Enumeration Date:
14 Jul, 2015
NPI Last Update On:
14 Jul, 2015
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Frederick Kidds Pediatric Dentistry Llc are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
14079
Maryland
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
1194880633
Other
Maryland
Individual Npi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Frederick Kidds Pediatric Dentistry Llc 211 Shorebird St Ste B, Frederick, Maryland
Zip:
21701-1963
Phone Number:
301-202-5041
Patients can reach Frederick Kidds Pediatric Dentistry Llc at 211 Shorebird St Ste B, Frederick, Maryland or can call to book an appointment on 301-202-5041. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.