Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pediatric Dental Specilaist, PC

Organization Pediatric Dentistry · NPI 1255063244

Pediatric Dental Specilaist, PC is a Pediatric Dentistry in Port Huron, Michigan. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1026 Superior St
Port Huron, MI 48060-3748
Phone: (810) 987-5040
Fax: (810) 987-9499
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1255063244
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kacey Woodward — Receptionist · (810) 987-5040
NPI enumeratedJune 28, 2022
Last updated in NPPESJuly 26, 2022
Certification dateJuly 26, 2022
Mailing address1026 Superior St, Port Huron, MI 48060-3748

Other providers in Port Huron