Organization Name: | JUST 4 ME PEDIATRIC DENTISTRY |
NPI Number: | 1477852556 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARTI PETERSON (OWNER) |
Mailing Address: | 1660 Hopkins Rd Suite 107 Getzville |
State: | NY US |
Postal Code: | 140681061 |
Phone Number: | 7166887721 |
Fax Number: | |
NPI Enumeration Date: | 03/15/2011 |
NPI Last Update Date: | 03/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 049620 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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. |