Pediatric Dental Care Center is a Pediatric Dental Clinic in Tacoma, Washington. It is located at 316 Martin Luther King Jr Way Ste 209, Tacoma, WA and its contact number is 253-627-6023. The authorized person for Pediatric Dental Care Center is Dr. John L. Gibbons
who is Doctor of the clinic and their contact number is 253-627-6023. The primary license number for Pediatric Dental Care Center is DE05994 (Pediatric Dentistry) in Washington. Pediatric Dental Care Center 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 Center 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 Center
Specialization:
Pediatric Dentistry
Clinic Address:
316 Martin Luther King Jr Way Ste 209, Tacoma, Washington, 98405-4254
Phone:
253-627-6023
Fax:
253-627-4035
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. John L. Gibbons
Position:
Doctor
Contact Number:
253-627-6023
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 Center clinic are as mentioned below.
NPI Number:
1790947778
NPI Enumeration Date:
30 Jun, 2008
NPI Last Update On:
30 Jun, 2008
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 Center are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
DE05994
Washington
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
5000823
Medicaid
Washington
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 Center 316 Martin Luther King Jr Way Ste 209, Tacoma, Washington
Zip:
98405-4254
Phone Number:
253-627-6023
Fax Number:
253-627-4035
Patients can reach Pediatric Dental Care Center at 316 Martin Luther King Jr Way Ste 209, Tacoma, Washington or can call to book an appointment on 253-627-6023. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.