OrganizationActive
Pediatric Dental Specilaist, P.C
NPI 1255063244 · Pediatric Dentistry · Port Huron, MI
Pediatric Dental Specilaist, P.C is a Pediatric Dentistry organization in Port Huron, MI (NPI 1255063244).
Provider details
- NPI number
- 1255063244
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kacey Woodward, Receptionist(810) 987-5040
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1026 Superior St
Port Huron, MI 48060-3748
Phone: (810) 987-5040
Fax: (810) 987-9499
Street-level locationGet directions
Mailing address
1026 Superior St
Port Huron, MI 48060-3748
Registry dates
- Enumerated
- 2022-06-28
- Last updated
- 2022-07-26
- Certified
- 2022-07-26
Frequently asked questions
- What is Pediatric Dental Specilaist, P.C's NPI number?
- Pediatric Dental Specilaist, P.C's National Provider Identifier (NPI) is 1255063244, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Dental Specilaist, P.C?
- Pediatric Dental Specilaist, P.C is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Pediatric Dental Specilaist, P.C located?
- Pediatric Dental Specilaist, P.C's practice location on file with NPPES is 1026 Superior St, Port Huron, MI 48060-3748.
- What is Pediatric Dental Specilaist, P.C's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Dental Specilaist, P.C is (810) 987-5040.
- Who is the authorized official for Pediatric Dental Specilaist, P.C?
- The authorized official listed on Pediatric Dental Specilaist, P.C's NPPES record is Kacey Woodward, Receptionist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Dental Specilaist, P.C's NPI active?
- Yes — Pediatric Dental Specilaist, P.C's NPI (1255063244) is active in the NPPES registry as of the last update on 2022-07-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.