Provider Demographics
NPI:1083870273
Name:CARING FOR KIDS PEDIATRIC DENTISTRY, P.C.
Entity Type:Organization
Organization Name:CARING FOR KIDS PEDIATRIC DENTISTRY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:IVIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:GETZ
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:914-355-2265
Mailing Address - Street 1:140 LOCKWOOD AVE
Mailing Address - Street 2:SUITE 315
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-4915
Mailing Address - Country:US
Mailing Address - Phone:914-355-2265
Mailing Address - Fax:914-355-2264
Practice Address - Street 1:140 LOCKWOOD AVE
Practice Address - Street 2:SUITE 315
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-4915
Practice Address - Country:US
Practice Address - Phone:914-355-2265
Practice Address - Fax:914-355-2264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-06
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0531571223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty