The Children'S Tooth Spa II, P.C.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

THE CHILDREN'S TOOTH SPA II, P.C.

Practice address

1420 Providence Ave
Chester, PA 19013-5715

Phone

(267) 296-1010

Fax

(267) 296-1012

NPI assigned

Jul 25, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jennifer Rose Pinero, DMDNPI 1699078527

Title

President/Ceo

Phone

(267) 353-4180

Specialties & licenses 1

Addresses

Other names 1

• The Children's Tooth Spa Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Rose Pinero, DMD

  • Pediatric Dentistry
  • Philadelphia, PA
  • NPI 1699078527
  NPD Authorized official
• Abimbola Oyindamola Oyeniyi, BDS, DMD, MSD,MSD

  • Pediatric Dentistry
  • Philadelphia, PA
  • NPI 1649805664
  NPD
• Julia Leigh Cove

  • Student in an Organized Health Care Education/Training Program
  • Philadelphia, PA
  • NPI 1063167021
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1750119194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N 2ND ST FRNT 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233090",
            "telephone_number": "267-353-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 PROVIDENCE AVE",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190135715",
            "telephone_number": "267-296-1010",
            "fax_number": "267-296-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILDREN'S TOOTH SPA II, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "PINERO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "267-353-4180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Children's Tooth Spa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Children's Tooth Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Neil L Tarkin, M.D.
• Vikram Taware
• Kuo Laing Tchong, MD
• Hannah Teplitzky, DO
• Hardik Harish Thakker, MD
• The Empowerment Resurrection Center
• The Life Center Complex, Inc
• The Life Center Complex, Inc
• The Neuropsychology Assessment Center at Widener University
• The Saltz Dental Center

• Pediatric Dentistry in Chester, PA
• Providers in Chester, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.