| Pbj Kids Dentistry | |
|
434 Patrol Rd Suite 210 Jeffersonville IN 47130 | |
| (812) 582-7255 | |
| (812) 975-7255 |
| Full Name | Pbj Kids Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 434 Patrol Rd Suite 210, Jeffersonville, Indiana |
| Authorized Official Name and Position | Philippe B Bautista (OWNER) |
| Authorized Official Contact | 5027445442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pbj Kids Dentistry 434 Patrol Rd Suite 210 Jeffersonville IN 47130 Ph: (812) 582-7255 | Pbj Kids Dentistry 434 Patrol Rd Suite 210 Jeffersonville IN 47130 Ph: (812) 582-7255 |
| NPI Number | 1417633348 |
|---|---|
| Provider Enumeration Date | 06/26/2023 |
| Last Update Date | 12/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417633348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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