Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Pediatric Dental Specilaist, P.C

Pediatric Dentistry in Port Huron, MI · enumerated 2022 · authorized official Kacey Woodward, Receptionist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255063244

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Pediatric Dental Specilaist, P.C

Practice address 1026 Superior St, Port Huron, MI, 48060

Phone (810) 987-5040

Fax (810) 987-9499

Enumeration date Jun 28, 2022

Last updated in NPPES Jul 26, 2022

Taxonomy & classification

1223P0221X Pediatric Dentistry Dental Providers Primary

Authorized official

Name Kacey Woodward

Title Receptionist

Phone (810) 987-5040

Other identifiers

Identifier	Type	State	Issuer
4032586	Medicaid	MI	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Pediatric Dental Specilaist, P.C?

Pediatric Dental Specilaist, P.C is registered in NPPES as a Pediatric Dentistry (its primary provider taxonomy).

Providers at this address

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Douglas Baribeau Pediatric Dentistry · Port Huron, MI NPI 1346299658

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-26.