Frederick Kidds Pediatric Dentistry Llc

LBN: Frederick Kidds Pediatric Dentistry Llc
Frederick Kidds Pediatric Dentistry Llc is an health care organization with primary practice located at 211 Shorebird St Ste B , Frederick MD 21701-1963. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Frederick Kidds Pediatric Dentistry Llc can be contacted via phone (301) 202-5041, or through Cole, D'Audra via phone (301) 202-5041.

Contact Information

Primary practice address
211 Shorebird St Ste B Frederick MD 21701-1963
Phone: (301) 202-5041
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cole, D'Audra Doctor of Dental Surgery (DDS)
Phone: (301) 202-5041

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 14079 Maryland

Profile Details

NPI number 1043694623
LBN Legal business name Frederick Kidds Pediatric Dentistry Llc
DBA Doing business as
Authorized official Cole, D'Audra Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2015
Last updated Jul 14th, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043694623 NPPES
Maryland Other 1194880633 INDIVIDUAL NPI

Popular Providers