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KNICKERBOCKER PEDIATRIC DENTISTRY LLC
NPI 1447617006
Dentist - Pediatric Dentistry in Dayton, OH

Active since January 26, 2016
1 CHILDRENS PLZ, DAYTON, OH 45404(937) 619-9828 Get Directions Write a Review

NPPES record last updated: January 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Knickerbocker Pediatric Dentistry Llc NPPES

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

KNICKERBOCKER PEDIATRIC DENTISTRY LLC (NPI 1447617006) is a healthcare organization registered as a pediatric dentistry in Dayton, Ohio and active in the NPI registry since January 2016. The organization lists Betty Huang, President, as its authorized official.

NPPES Registry Identity

NPI1447617006
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameKNICKERBOCKER PEDIATRIC DENTISTRY LLC
Location Address1 CHILDRENS PLZDayton, OH 45404-1873
Mailing AddressPo Box 752144Dayton, OH 45475-2144
Phone(937) 619-9828
Organization SubpartNo
Authorized OfficialBetty HuangPresident · (419) 463-0023
Enumeration DateJanuary 26, 2016
✔ NPI 1447617006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in OH · 30-023424
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.
1 CHILDRENS PLZ, Dayton, OH 45404
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Other Identifiers 1

Medicaid0054438OH

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 20

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

HEMANTH SHIMOGA LINGADEVARU MD,MPH,FAAP
Pediatrics (Pediatric Critical Care Medicine)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3000
TANYA PAUL M.D
Pediatrics (Pediatric Emergency Medicine)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3600
NICOLE LYNNE-BENDT SCOTT
Physician Assistant
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3600
CODY H MCMILLAN
Physician Assistant
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3000
TANIA MONTENEGRO MS, MPH
Genetic Counselor, MS
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-5923
MS. FAITH ANGELA CALLIF-DALEY M.S.
Genetic Counselor, MS
1 CHILDRENS PLZ, DAYTON CHILDREN'S MEDICAL CENTER
DAYTON, OH 45404
Montgomery County (937) 641-5645
DR. EMMETT H BROXSON JR. MD
Pediatrics (Pediatric Hematology-Oncology)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-3111
DR. RAMAKRISHNA MUTYALA MD
Pediatrics (Pediatric Gastroenterology)
1 CHILDRENS PLZ
DAYTON, OH 45404
Montgomery County (937) 641-4000

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 Knickerbocker Pediatric Dentistry LLC's NPI number?

The NPI number for Knickerbocker Pediatric Dentistry LLC is 1447617006. It was assigned to this organization in the NPPES registry on January 26, 2016.

Where is Knickerbocker Pediatric Dentistry LLC located?

Knickerbocker Pediatric Dentistry LLC is located at 1 Childrens Plz, Dayton, OH 45404. The listed phone number is (937) 619-9828.

What is Knickerbocker 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 Knickerbocker Pediatric Dentistry LLC was last updated on January 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.