Pediatric Dental Specilaist, P.c is a Pediatric Dental Clinic in Port Huron, Michigan. It is located at 1026 Superior St, Port Huron, MI and its contact number is 810-987-5040. The authorized person for Pediatric Dental Specilaist, P.c is Kacey A Woodward
who is Receptionist of the clinic and their contact number is 810-987-5040. Pediatric Dental Specilaist, P.c 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 Specilaist, P.c 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 Specilaist, P.c
Specialization:
Pediatric Dentistry
Clinic Address:
1026 Superior St, Port Huron, Michigan, 48060-3748
Phone:
810-987-5040
Fax:
810-987-9499
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:
Kacey A Woodward
Position:
Receptionist
Contact Number:
810-987-5040
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 Specilaist, P.c clinic are as mentioned below.
NPI Number:
1255063244
NPI Enumeration Date:
28 Jun, 2022
NPI Last Update On:
26 Jul, 2022
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 Specilaist, P.c are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
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
4032586
Medicaid
Michigan
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 Specilaist, P.c 1026 Superior St, Port Huron, Michigan
Zip:
48060-3748
Phone Number:
810-987-5040
Fax Number:
810-987-9499
Patients can reach Pediatric Dental Specilaist, P.c at 1026 Superior St, Port Huron, Michigan or can call to book an appointment on 810-987-5040. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.