Dentistry For Kids | |
244 College Ave Beaver PA 15009-2706 | |
(724) 888-2684 | |
(724) 709-8061 |
Full Name | Dentistry For Kids |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 244 College Ave, Beaver, Pennsylvania |
Authorized Official Name and Position | Thomas Wesley Jackson (OWNER) |
Authorized Official Contact | 4123672250 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dentistry For Kids 2790 Mosside Blvd Suite 140 Monroeville PA 15146-2743 Ph: (412) 367-2250 | Dentistry For Kids 244 College Ave Beaver PA 15009-2706 Ph: (724) 888-2684 |
NPI Number | 1669847521 |
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Provider Enumeration Date | 12/03/2015 |
Last Update Date | 12/03/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669847521 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | DS026194L (Pennsylvania) | Primary |
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