OrganizationActive
Hanover Pediatric Dentistry
NPI 1053174938 · Pediatric Dentistry · Hanover, PA
Hanover Pediatric Dentistry is a Pediatric Dentistry organization in Hanover, PA (NPI 1053174938).
Provider details
- NPI number
- 1053174938
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jaepil Kim, Pediatric Dentist(410) 756-0859
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
250 Fame Ave Ste 206a
Hanover, PA 17331-1576
Phone: (410) 756-0859
Street-level locationGet directions
Mailing address
785 Grandon Way
Mechanicsburg, PA 17050-9124
Registry dates
- Enumerated
- 2024-02-02
- Last updated
- 2024-02-02
- Certified
- 2024-02-02
Frequently asked questions
- What is Hanover Pediatric Dentistry's NPI number?
- Hanover Pediatric Dentistry's National Provider Identifier (NPI) is 1053174938, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Hanover Pediatric Dentistry?
- Hanover Pediatric Dentistry is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Hanover Pediatric Dentistry located?
- Hanover Pediatric Dentistry's practice location on file with NPPES is 250 Fame Ave Ste 206a, Hanover, PA 17331-1576.
- What is Hanover Pediatric Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Hanover Pediatric Dentistry is (410) 756-0859.
- Who is the authorized official for Hanover Pediatric Dentistry?
- The authorized official listed on Hanover Pediatric Dentistry's NPPES record is Jaepil Kim, Pediatric Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Hanover Pediatric Dentistry's NPI active?
- Yes — Hanover Pediatric Dentistry's NPI (1053174938) is active in the NPPES registry as of the last update on 2024-02-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.