KIDS DENTIST, LLC (NPI# 1497918429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497918429 |
| Entity Type | Organization |
| Organization Name | KIDS DENTIST, LLC |
| Practice Address |
16 Whitehall Rd Rochester NH 03867-3225 |
| Practice Telephone | 6033301990 |
| Practice Fax Number | 6033303966 |
| Mailing Telephone | 6033301990 |
| Mailing Fax Number | 6033303966 |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2008-07-09 |
| Authorized Official Name | DR. GARY DON WENDELL (OWNER) |
| Authorized Official Telephone | 6033301990 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
3134 | NH | Dental Providers |
| Street Address |
16 WHITEHALL RD |
| City | ROCHESTER |
| State | NH |
| Zip Code | 03867-3225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063424844 | Gary Don Wendell | Dentist | 16 Whitehall Rd, Rochester, NH 03867 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801402862 | Allergy and Asthma Center | Allergy & Immunology | 161 Rochester Hill Road, Rochester, NH 03867 | 2020-09-16 |
| 1245874908 | Alicia Anne Magoon | Occupational Therapist | 105 Eastern Avenue, Rochester, NH 03867 | 2019-11-05 |
| 1124531801 | Amelia K Bailey | Behavioral Analyst | 36 Industrial Way Ste 10, Rochester, NH 03867 | 2017-11-16 |
| 1285183988 | Till Inc | Community/Behavioral Health | 20 Walnut Street Apt 2, Woburn, MA 03867 | 2016-09-23 |
| 1174070080 | Hope On Haven Hill, Inc | Substance Abuse Rehabilitation Facility | 326 Rochester Hill Rd, Rochester, NH 03867 | 2016-09-08 |
| 1710359468 | Silke Psula | Social Worker | 25 Old Dover Rd, Community Partners, Rochester, NH 03867 | 2015-10-21 |
| 1396129672 | Skyhaven Surgery Center LLC | Clinic/Center | 13 Healthcare Drive, Rochester, NH 03867 | 2015-07-16 |
| 1659788214 | Elizabeth Mary Solof | Case Management | 1 Old Dover Road, Suite 7, Rochester, NH 03867 | 2014-07-16 |
| 1447676754 | Granite State Express Care LLC | Clinic/Center | 120 Washington Street, Rochester, NH 03867 | 2014-03-11 |
| 1265630412 | Deborah Jo Emery | Counselor | One Old Dover Road, Suite #6, Rochester, NH 03867 | 2007-07-10 |
| Find all providers in zip 03867 | ||||
| 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 |
|---|---|---|---|---|
| 1043789639 | Small To Tall, Dentistry for Children, Pllc | Dentist | 3171 Chili Ave Ste 400, Rochester, NY 14624-5440 | 2018-11-13 |
| 1366829541 | Andrew B Winslow | Dentist | 625 Elmwood Ave., Rochester, NY 14620 | 2015-04-27 |
| 1609272822 | Rochester Pediatric Dentistry LLC | Dentist | 1705 S Boradway Ave Ste B, Rochester, MN 55904-7960 | 2014-11-16 |
| 1336427384 | Cynthia Laurel Wong | Dentist | 2400 South Clinton Avenue, Suite 125, Rochester, NY 14620 | 2011-07-25 |
| 1477843936 | Kelly A Jones | Dentist | 1705 Broadway Ave S Ste B, Rochester, MN 55904-7960 | 2011-04-18 |
| 1528267242 | Lindsey Keck | Dentist | 261 Averill Ave, Rochester, NY 14620-1301 | 2007-07-12 |
| 1114076619 | Dentistry for Children and Adolescents, Ltd. | Dentist | 2743 Superior Dr Nw, Rochester, MN 55901-1773 | 2007-01-10 |
| 1376646604 | David P. Durr | Dentist | 2061 Ridge Rd W, Rochester, NY 14626-2782 | 2006-09-05 |
| 1306948443 | Daniel H Glowinsky | Dentist | 3171 Chili Ave, Suite 400, Rochester, NY 14624 | 2006-09-01 |
| 1174638183 | Thomas C Burm Jr. | Dentist | 523 Beahan Rd, Rochester, NY 14624-3403 | 2006-08-20 |
| Find all providers in ROCHESTER | ||||
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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.