Organization · NPI-2

4 Kids Dental Center, P.C.

Dentist, Pediatric Dentistry · Greensburg, PA

NPI number1962673632
StatusActive
Last updated in NPPESJan 29, 2015

Details

NPI
1962673632
Entity type
Organization (NPI-2)
Legal business name
4 Kids Dental Center, P.C.
Organization subpart
No
Enumeration date
Mar 20, 2008
Last updated
Jan 29, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0221X Dentist, Pediatric DentistryDS 018180 LPAYes
1223G0001X Dentist, General PracticeDS 015320 LPA

Practice location

660 E Pittsburgh St
Greensburg, PA 15601-2677

Phone 724-837-4400 · Fax 724-837-1613

Mailing address

660 E Pittsburgh St
Greensburg, PA 15601-2677

Phone 724-837-4400 · Fax 724-837-1613

Authorized official

Christopher James Luccy
President
7248374400

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