HANOVER PEDIATRIC DENTISTRY
NPI 1053174938
Dentist - Pediatric Dentistry in Hanover, PA

Active since February 02, 2024
250 FAME AVE STE 206A, HANOVER, PA 17331(410) 756-0859 Get Directions Write a Review

NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hanover Pediatric Dentistry NPPES

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

HANOVER PEDIATRIC DENTISTRY (NPI 1053174938) is a healthcare organization registered as a pediatric dentistry in Hanover, Pennsylvania and active in the NPI registry since February 2024. The organization lists Jaepil Kim, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1053174938
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameHANOVER PEDIATRIC DENTISTRY
Location Address250 FAME AVE STE 206AHanover, PA 17331-1576
Mailing Address785 Grandon WayMechanicsburg, PA 17050-9124 · (917) 273-5233
Organization SubpartNo
Authorized OfficialJaepil KimPediatric Dentist · (410) 756-0859
Enumeration DateFebruary 2, 2024
NPPES CertifiedFebruary 2, 2024
NPI 1053174938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.
250 FAME AVE STE 206A, Hanover, PA 17331

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

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
250 FAME AVE STE 206A
HANOVER, PA 17331
Family Medicine
250 FAME AVE STE 206A
HANOVER, PA 17331
Internal Medicine
250 FAME AVE STE 206A
HANOVER, PA 17331
Nurse Practitioner (Family)
250 FAME AVE STE 206A
HANOVER, PA 17331
Internal Medicine (Infectious Disease)
250 FAME AVE STE 206A
HANOVER, PA 17331
Internal Medicine (Geriatric Medicine)
250 FAME AVE STE 206A
HANOVER, PA 17331
Internal Medicine
250 FAME AVE STE 206A
HANOVER, PA 17331

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 Hanover Pediatric Dentistry's NPI number?

The NPI number for Hanover Pediatric Dentistry is 1053174938. It was assigned to this organization in the NPPES registry on February 2, 2024.

Where is Hanover Pediatric Dentistry located?

Hanover Pediatric Dentistry is located at 250 Fame Ave Ste 206A, Hanover, PA 17331. The listed phone number is (410) 756-0859.

What is Hanover Pediatric Dentistry'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 Hanover Pediatric Dentistry was last updated on February 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.