Pediatric Dentistry Associates, Llc in Madison - Pediatric Dentistry
Pediatric Dentistry Associates, Llc - NPI 1982759791
Pediatric Dentistry Associates, Llc is a Pediatric Dentistry in Madison, Connecticut. Pediatric Dentistry Associates, Llc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Pediatric Dentistry Associates, Llc is 1982759791. The last update date is 2020-08-22.
Pediatric Dentistry Associates, Llc's current location address is 149 Durham Rd Ste 33, Madison, Connecticut. You can contact this provider via phone number 2032451454 and fax number 2032458998. The mailing address for Pediatric Dentistry Associates, Llc is 149 Durham Rd Ste 33, Madison, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Dentistry Associates, Llc |
|---|---|
| Address | 149 Durham Rd Ste 33, Madison, Connecticut |
| Phone Number | 2032451454 |
| Fax Number | 2032458998 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Keck B. Douglas |
| Credentials | D.M.D. |
| Telephone Number | 2037873669 |
NPI Number Detail
| NPI Number | 1982759791 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 149 Durham Rd Ste 33 |
|---|---|
| City | Madison |
| State | Connecticut (CT) |
| Post Code | 64432680 |
| Phone Number | 2032451454 |
| Fax Number | 2032458998 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 5525 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1710988704 | CT | INDIVIDUAL NPI | |
| 1760569685 | CT | INDIVIDUAL NPI | |
| 1184624058 | CT | INDIVIDUAL NPI |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Pediatric Dentistry Associates, Llc by the Centers for Medicare & Medicaid Services?
The Pediatric Dentistry Associates, Llc has been issued the NPI (National Provider Identifier) 1982759791, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Pediatric Dentistry Associates, Llc's physical address?
The Pediatric Dentistry Associates, Llc is physically located at 149 Durham Rd Ste 33, in the city of Madison, CT, with the postal code 64432680.
What is the Pediatric Dentistry Associates, Llc's specialty and taxonomy code?
The Pediatric Dentistry Associates, Llc's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
On what date did Pediatric Dentistry Associates, Llc receive its 1982759791 assignment from the Centers for Medicare & Medicaid Services?
The Pediatric Dentistry Associates, Llc was assigned its 1982759791 on 2007-01-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Pediatric Dentistry Associates, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Pediatric Dentistry Associates, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC