Pediatric Dental Center is a Pediatric Dental Clinic in Brandon, Florida. It is located at 517 Corner Drive, Brandon, FL and its contact number is 813-685-0804. The authorized person for Pediatric Dental Center is Dr. William Edward Gonzalez
who is President of the clinic and their contact number is 813-685-0804. The primary license number for Pediatric Dental Center is DN6377 (Pediatric Dentistry) in Florida. Pediatric Dental 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 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 Center
Specialization:
Pediatric Dentistry
Clinic Address:
517 Corner Drive, Brandon, Florida, 33511-5718
Phone:
813-685-0804
Fax:
813-681-7213
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. William Edward Gonzalez
Position:
President
Contact Number:
813-685-0804
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 Center clinic are as mentioned below.
NPI Number:
1710244702
NPI Enumeration Date:
16 Apr, 2012
NPI Last Update On:
16 Apr, 2012
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 Center are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
DN6377
Florida
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
074133700
Medicaid
Florida
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 Center 517 Corner Drive, Brandon, Florida
Zip:
33511-5718
Phone Number:
813-685-0804
Fax Number:
813-681-7213
Patients can reach Pediatric Dental Center at 517 Corner Drive, Brandon, Florida or can call to book an appointment on 813-685-0804. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.