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PEDIATRIC DENTAL CARE PC, INC
NPI 1972673010
Dentist - Pediatric Dentistry in Port Matilda, PA

Active since November 08, 2006
1019 GHANER RD STE 100, PORT MATILDA, PA 16870(814) 238-7120(814) 238-2981 Get Directions Write a Review

NPPES record last updated: February 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Dental Care Pc, Inc NPPES

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

PEDIATRIC DENTAL CARE PC, INC (NPI 1972673010) is a healthcare organization registered as a pediatric dentistry in Port Matilda, Pennsylvania and active in the NPI registry since November 2006. The organization lists Robert L Kilareski, Dentist, as its authorized official.

NPPES Registry Identity

NPI1972673010
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTAL CARE PC, INC
Location Address1019 GHANER RD STE 100Port Matilda, PA 16870-7201
Mailing Address1019 Ghaner Rd Ste 100Port Matilda, PA 16870-7201 · (814) 238-7120 · Fax (814) 238-2981
Phone(814) 238-7120
Fax(814) 238-2981
Organization SubpartNo
Authorized OfficialRobert L KilareskiDentist · (814) 238-7120
Enumeration DateNovember 8, 2006
Last NPPES UpdateFebruary 15, 2016
✔ NPI 1972673010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in PA · DS-031216-L✔ Licensed in PA · DS-019843-L✔ Licensed in PA · DS-036188-L
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.
1019 GHANER RD STE 100, Port Matilda, PA 16870
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Other Identifiers 1

Medicaid1015435680001PA

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. CHASE DANIEL ELLIS DDS
Dentist (Pediatric Dentistry)
1019 GHANER RD STE 100
PORT MATILDA, PA 16870
Centre County (814) 238-7120

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 Pediatric Dental Care PC, Inc's NPI number?

The NPI number for Pediatric Dental Care PC, Inc is 1972673010. It was assigned to this organization in the NPPES registry on November 8, 2006.

Where is Pediatric Dental Care PC, Inc located?

Pediatric Dental Care PC, Inc is located at 1019 Ghaner Rd Ste 100, Port Matilda, PA 16870. The listed phone number is (814) 238-7120.

What is Pediatric Dental Care PC, Inc'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 Pediatric Dental Care PC, Inc was last updated on February 15, 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.