OrganizationActive
Frederick Kidds Pediatric Dentistry LLC
NPI 1043694623 · Pediatric Dentistry · Frederick, MD
Frederick Kidds Pediatric Dentistry LLC is a Pediatric Dentistry organization in Frederick, MD (NPI 1043694623).
Provider details
- NPI number
- 1043694623
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- D'Audra Cole, Dentist/Owner(301) 202-5041
- License
- 14079 (MD)
Practice location
211 Shorebird St Ste B
Frederick, MD 21701-1963
Phone: (301) 202-5041
Street-level locationGet directions
Mailing address
211 Shorebird St Ste B
Frederick, MD 21701-1963
Registry dates
- Enumerated
- 2015-07-14
- Last updated
- 2015-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.