PEDIATRIC DENTISTRY (NPI# 1518527191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518527191 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC DENTISTRY |
| Practice Address |
45535 Hanford Rd Canton MI 48187-4595 |
| Practice Telephone | 7342540786 |
| Practice Fax Number | 7342540861 |
| Mailing Telephone | 7342540786 |
| Mailing Fax Number | 7342540861 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |
| Authorized Official Name | MRS. FARAH KHAN (PEDIATRIC DENTIST) |
| Authorized Official Telephone | 7362540786 |
| Authorized Official Credential | DDS,PC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | NATIONAL PROVIDER ID | 1548369291 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700184512 | Pediatric Dentistry | Dentist | 100 Springhouse Ct Ste 110, Hendersonville, TN 37075-1610 | 2011-03-02 |
| 1407993611 | Pediatric Dentistry | Dentist | 88 Broad Street, Glens Falls, NY 12801 | 2007-01-30 |
| 1720472707 | Pediatric Dentistry | Dentist | 1318 E Lane St, Laredo, TX 78040-7211 | 2015-03-26 |
| 1629055793 | Pediatric Dentistry | Dentist | 290 Baker Ave, Ste. 228north, Concord, MA 01742-2189 | 2005-12-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | PEDIATRIC DENTISTRY AND ORTHODONTICS OF THE NORTH SHORE, LLC | 6 State Rd., Danvers, MA 02193 |
| Virginia Business Entities | Pediatric Dentistry and Orthodontics of Virginia P.C. | 13841 Hull Street Road, Ste 4, Midlothian, Virginia 23112 |
| Connecticut Business Registrations | Pediatric Dentistry and Orthodontics, Pllc | One Lake Street, New Britain, CT 06052 |
| Colorado Business Entities | Pediatric Dentistry of Colorado, Inc. | 39375 Ridge Park Drive, Severance, CO 80610 |
| Iowa Business Entities | PEDIATRIC DENTISTRY OF GREATER DES MOINES, PLLC | 7600 Fleur Drive, Des Moines, IA 50321 |
| Colorado Business Entities | Pediatric Dentistry of Loveland, PLLC | 2800 Madison Square Drive, Suite 1, Loveland, CO 80538 |
| New York State Corporations | PEDIATRIC DENTISTRY OF MELVILLE LLC | 80 Business Park Drive Ste 103, Armonk, Ny 10504 |
| New York State Corporations | PEDIATRIC DENTISTRY OF NASSAU COUNTY PLLC | 300 Garden City Plaza, Suite 214, Garden City, Ny 11530 |
| Indiana Business Entities | PEDIATRIC DENTISTRY OF NORTHWEST INDIANA, P.C. | 2833 Lincoln St, Ste 1, Highland, IN 46322-1924 |
| Oregon Corporations, Companies and Business Names | PEDIATRIC DENTISTRY OF OREGON | 2150 Ne Division St, Ste 201, Gresham, OR 97030 |
| Street Address |
45535 HANFORD RD |
| City | CANTON |
| State | MI |
| Zip Code | 48187-4595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114547874 | Savannah Dugan | Occupational Therapist | 5969 N Canton Center Rd, Canton, MI 48187 | 2020-04-23 |
| 1225674823 | Cura Professional Group | Home Health | 1638 East Lakeview Lane, Canton, MI 48187 | 2019-11-19 |
| 1740825207 | Vlp Can LLC | Dentist | 39883 Ford Rd., Canton, MI 48187 | 2019-11-08 |
| 1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
| 1447734496 | Integrated Health Pharmacy LLC | Pharmacy | 49650 Cherry Hill Rd., Canton, MI 48187 | 2018-09-16 |
| 1285117499 | Susan Rhoton | Licensed Vocational Nurse | 6223 N Canton, Suite 201, Canton, MI 48187 | 2018-09-13 |
| 1285110767 | Personalized Nursing Light House Inc | Substance Abuse Rehabilitation Facility | 7752 N Canton Center Rd Ste 120, Canton, MI 48187 | 2018-07-17 |
| 1083111793 | Heydie Alejandra Orr | Social Worker | 5840 N Canton Center Rd Ste 221, Canton, MI 48187 | 2018-04-09 |
| 1285139204 | Chawla Enterprises Inc | Durable Medical Equipment & Medical Supplies | 5840 N Canton Center Rd Ste 222, Canton, MI 48187 | 2018-03-30 |
| 1689192221 | Arcturus Pllc | Physical Therapist | 5820 Lilley Rd. Suite 6, Canton, MI 48187 | 2017-09-04 |
| Find all providers in zip 48187 | ||||
| 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 |
|---|---|---|---|---|
| 1194182535 | Children's Dental Care of Canton | Dentist | 5867 N Lilley Rd, Canton, MI 48187-3623 | 2016-01-15 |
| 1134448301 | Leigh Ann Patel | Dentist | 12420 Cumming Hwy, Ste 306, Canton, GA 30115-7568 | 2010-05-26 |
| 1437398666 | Canton Pediatric Dentistry PC | Dentist | 3395 Sixes Rd, Suite 140, Canton, GA 30114 | 2009-02-11 |
| 1285850875 | Alpana Handa Khetarpal | Dentist | 4176 Holiday St Nw Ste 4, Canton, OH 44718-2532 | 2007-04-18 |
| 1295803542 | Stephen Patrick Girdlestone | Dentist | 3801 Whipple Ave Nw, Suite 4, Canton, OH 44718-4802 | 2006-12-02 |
| 1184076697 | Canton Pediatric Dentistry, Pllc | Dentist | 1657 N Canton Center Rd, Canton, MI 48187-2948 | 2016-07-08 |
| 1063710010 | Canton Pediatric Dental Center | Dentist | 1455 Harrison Ave Nw, Suite 200, Canton, OH 44708-2621 | 2011-02-28 |
| 1639362445 | Cherokee Children's Dentistry | Dentist | 205 Waleska Rd, Suite 2b, Canton, GA 30114-2493 | 2007-08-24 |
| 1720143811 | Anthea Drew | Dentist | 205 Waleska Rd, Suite 2-b, Canton, GA 30114-2493 | 2006-12-27 |
| 1356364665 | Jeffrey Miles Mazzawi | Dentist | 205 Waleska Rd, Suite 2-b, Canton, GA 30114 | 2006-07-26 |
| Find all providers in CANTON | ||||
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| 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.