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Organization

DENTISTRY FOR KIDS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS W JACKSON DMD (PRESIDENT)
(412) 367-2250
Entity
Organization

Contact information

Practice address
3472 ROUTE 130, HARRISON CITY, PA 15636
(412) 367-2250
(412) 367-4060
Mailing address
8160 PERRY HWY, PITTSBURGH, PA 15237-5214
(412) 367-2250
(412) 367-4060

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
168020
UNITED CONCORDIA NUMBER
PA
Enumeration date
02/01/2007
Last updated
08/06/2008
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