Organization Name: | CHILDREN'S DENTAL CARE |
NPI Number: | 1083630586 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GEORGE A HANKERSON (DENTIST) |
Mailing Address: | 7629 Egan Dr Savage |
State: | MN US |
Postal Code: | 553782208 |
Phone Number: | 9524405100 |
Fax Number: | 9524405140 |
NPI Enumeration Date: | 07/15/2006 |
NPI Last Update Date: | 05/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 5460717 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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. |