Pottsville Pediatric Dental Center

LBN: Pottsville Pediatric Dental Center
Pottsville Pediatric Dental Center is an health care organization with primary practice located at 305 N 2Nd St , Pottsville PA 17901-2503. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is the primary health care specialty. Pottsville Pediatric Dental Center can be contacted via phone (570) 622-7430, or through Perez, Preciosa via phone (570) 622-7430.

Contact Information

Primary practice address
305 N 2Nd St Pottsville PA 17901-2503
Phone: (570) 622-7430
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Perez, Preciosa Doctor of Dental Surgery (DDS)
Phone: (570) 622-7430

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DS031182L Pennsylvania
Dental Providers / Pediatric Dentistry 1223P0221X DS035069 Pennsylvania

Profile Details

NPI number 1831498971
LBN Legal business name Pottsville Pediatric Dental Center
DBA Doing business as
Authorized official Perez, Preciosa Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2011
Last updated Mar 15th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831498971 NPPES
Pennsylvania MEDICAID 001883048-0001

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