Organization Name: | RYE PEDIATRIC DENTISTRY |
NPI Number: | 1053608653 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL K CHU (OWNER) |
Mailing Address: | 130 Theodore Fremd Ave Apt M2 Rye |
State: | NY US |
Postal Code: | 105806813 |
Phone Number: | 9149670000 |
Fax Number: | 9149670149 |
NPI Enumeration Date: | 07/02/2011 |
NPI Last Update Date: | 07/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 051846 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |