Organization Name: | KEVIN MICHAEL SHOWVAKER DMD PC |
NPI Number: | 1114939279 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEVIN MICHAEL SHOWVAKER (OWNER) |
Mailing Address: | 416 Constitution Blvd Suite D New Brighton |
State: | PA US |
Postal Code: | 15066 |
Phone Number: | 7248477692 |
Fax Number: | 7248478766 |
NPI Enumeration Date: | 08/13/2006 |
NPI Last Update Date: | 03/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | DS025430L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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. |