# KIDSPEACE NATIONAL CENTERS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639453327
- **Authorized official:** MICHAEL CALLAN (CFO)
- **Authorized official phone:** (610) 799-7517

## Contact information

- **Practice address:** 5300 KIDSPEACE DR, OREFIELD, PA 18069-2044
- **Practice address phone:** (610) 799-7609
- **Practice address fax:** (610) 799-8597
- **Mailing address:** 4085 INDEPENDENCE DR, SCHNECKSVILLE, PA 18078-2574
- **Mailing address phone:** (610) 799-8343
- **Mailing address fax:** (610) 799-8318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/29/2011
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100763290-0041 | — | PA |
