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FREDERICK KIDDS PEDIATRIC DENTISTRY LLC
NPI 1043694623
Dentist - Pediatric Dentistry in Frederick, MD

Active since July 14, 2015
211 SHOREBIRD ST STE B, FREDERICK, MD 21701(301) 202-5041 Get Directions Write a Review

NPPES record last updated: July 14, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Frederick Kidds Pediatric Dentistry Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREDERICK KIDDS PEDIATRIC DENTISTRY LLC (NPI 1043694623) is a healthcare organization registered as a pediatric dentistry in Frederick, Maryland and active in the NPI registry since July 2015. The organization lists D'audra Cole, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1043694623
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameFREDERICK KIDDS PEDIATRIC DENTISTRY LLC
Location Address211 SHOREBIRD ST STE BFrederick, MD 21701-1963
Mailing Address211 Shorebird St Ste BFrederick, MD 21701-1963 · (301) 202-5041
Phone(301) 202-5041
Organization SubpartNo
Authorized OfficialD'audra ColeDentist/owner · (301) 202-5041
Enumeration DateJuly 14, 2015
✔ NPI 1043694623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MD · 14079
Definition
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.
211 SHOREBIRD ST STE B, Frederick, MD 21701
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Other Identifiers 1

Other1194880633MD · Individual Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Frederick Kidds Pediatric Dentistry LLC's NPI number?

The NPI number for Frederick Kidds Pediatric Dentistry LLC is 1043694623. It was assigned to this organization in the NPPES registry on July 14, 2015.

Where is Frederick Kidds Pediatric Dentistry LLC located?

Frederick Kidds Pediatric Dentistry LLC is located at 211 Shorebird St Ste B, Frederick, MD 21701. The listed phone number is (301) 202-5041.

What is Frederick Kidds Pediatric Dentistry LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Frederick Kidds Pediatric Dentistry LLC was last updated on July 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.