KIDDOS PC (NPI# 1487172359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487172359 |
| Entity Type | Organization |
| Organization Name | KIDDOS PC |
| Practice Address |
6583 State Route 819 S Ste 1 Mt Pleasant PA 15666-3503 |
| Practice Telephone | (724) 542-4818 |
| Practice Fax Number | 7245424828 |
| Mailing Telephone | 7245424818 |
| Mailing Fax Number | 7245424828 |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MARILOU DIBAGNO (OFFICE MANAGER) |
| Authorized Official Telephone | 7245424818 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
DS035406 | PA | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DS030164L | PA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 545 E Bruceton Rd, Pleasant Hills, PA 152364593 | 4126553008 |
| Street Address |
6583 STATE ROUTE 819 S STE 1 |
| City | MT PLEASANT |
| State | PA |
| Zip Code | 15666-3503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245759133 | Hrycko Chiropractic, Inc. | Chiropractor | 115 W. Main Street, Mt. Pleasant, PA 15666 | 2017-09-12 |
| 1013372002 | Joseph Marzano | Counselor | 3298 Richey Rd, Mt Pleasant, PA 15666 | 2015-12-18 |
| 1740610583 | Diana Lynn Gummo Crnp LLC | Nurse Practitioner | 607 N. Church St., Suite 2, Mt. Pleasant, PA 15666 | 2013-11-14 |
| 1669816930 | Mt. Pleasant Dental Associates PC | Dentist | 6571 Rt. 819, Mt. Pleasant, PA 15666 | 2013-04-17 |
| 1487926168 | Heather Marie Patterson | Physician Assistant | 828 West Main St, Mt Pleasant, PA 15666 | 2012-01-27 |
| 1083924872 | Mandee L Mikeska | Registered Nurse | 508 S Church St Ste 202, Mt Pleasant, PA 15666 | 2010-10-14 |
| 1346556032 | Gregory Bailey | Pharmacist | Rt 819 S, Mt. Pleasant, PA 15666 | 2010-08-19 |
| 1013176270 | Navarro Health Care P.C. | Specialist | 599 N Church Street, Mt Pleasant, PA 15666 | 2008-06-03 |
| 1982814414 | Donald Francis Nicoll | Social Worker | 140 Mizikar Road, Mount Pleasant, PA 15666 | 2007-05-23 |
| 1629197132 | Paula M Decarlo | Pharmacist | Route 819 South Box 1052, Eckerd Pharmacy, Mount Pleasant, PA 15666 | 2007-03-28 |
| Find all providers in zip 15666 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396184370 | Adam Joseph Pamer | Dentist | 1320 S Green Bay Rd, Mt Pleasant, WI 53406-4406 | 2013-06-23 |
| 1144394305 | Robert Michael Myers | Dentist | 1109 Mathis Ferry Rd, Mt Pleasant, SC 29464-2650 | 2006-11-20 |
| 1437233137 | Randall James Pagenkopf | Dentist | 757 Long Point Rd # A, Mt Pleasant, SC 29464-8226 | 2006-10-25 |
| 1053376491 | Kids Teeth, LLC | Dentist | 389 Johnnie Dodds Blvd, Suite B, Mt Pleasant, SC 29464-2950 | 2006-04-19 |
| 1619507357 | Paramount Pediatric Dentistry of Racine | Dentist | 5820 Washington Ave, Mt Pleasant, WI 53406-4020 | 2020-01-22 |
| 1689723330 | Jan W Wrobleski | Dentist | 389 Johnnie Dodds Blvd, Suite B, Mt Pleasant, SC 29464-2950 | 2007-01-10 |
| 1245389808 | Willaim D Macdonald | Dentist | 389 Johnnie Dodds Blvd, Suite B, Mt Pleasant, SC 29464-2950 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598309106 | Sea of Smiles 4 LLC | Dentist | 361 Highland Ave Ste 203, Jenkintown, PA 19046-2632 | 2019-11-06 |
| 1538701594 | John Capparell & Connie Mallozzi | Dentist | 20 N Laurel St # 2-c, Hazleton, PA 18201-5948 | 2019-10-11 |
| 1215584503 | Bright Smiles Kids Dentistry | Dentist | 410 W Lancaster Ave Ste 106, Devon, PA 19333-1588 | 2019-08-21 |
| 1841846458 | Bensalem, Smiles Inc | Dentist | 2548 Street Rd, Bensalem, PA 19020-2644 | 2019-08-11 |
| 1154976991 | Advanced Pediatric Dentistry LLC | Dentist | 220 Cumberland Pkwy Ste 6&7, Mechanicsburg, PA 17055-5683 | 2019-08-08 |
| 1205495512 | Lanz Pediatric Dentistry, LLC | Dentist | 3402 Washington Rd Ste 205, Mc Murray, PA 15317-2964 | 2019-06-10 |
| 1982267084 | Farm Park Pediatric Dentistry | Dentist | 502 W Germantown Pike Ste 100, East Norriton, PA 19403-4232 | 2019-04-15 |
| 1053878892 | Alexis Gilliam | Dentist | 2820 Whiteford Rd, York, PA 17402-7620 | 2019-02-28 |
| 1346705050 | Happy Teeth Proffesionals, LLC | Dentist | 165 Levittown Pkwy Ste B, Levittown, PA 19055-2464 | 2019-02-06 |
| 1902373111 | Cavity Busters Doylestown LLC | Dentist | 708 N Shady Retreat Rd Ste 2, Doylestown, PA 18901-2503 | 2018-10-25 |
| Find all providers with the same taxonomy | ||||
| City | MT PLEASANT |
| Zip Code | 15666 |
Please comment or provide details below to improve the information on KIDDOS PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.