Pediatric Dentistry Associates, Llc in New Haven - Pediatric Dentistry
Pediatric Dentistry Associates, Llc - NPI 1740334002
Pediatric Dentistry Associates, Llc is a Pediatric Dentistry in New Haven, 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 1740334002. The last update date is 2016-12-12.
Pediatric Dentistry Associates, Llc's current location address is 991 State St, New Haven, Connecticut. You can contact this provider via phone number 2037873669 and fax number 2037858416. The mailing address for Pediatric Dentistry Associates, Llc is 991 State St, New Haven, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Dentistry Associates, Llc |
|---|---|
| Address | 991 State St, New Haven, Connecticut |
| Phone Number | 2037873669 |
| Fax Number | 2037858416 |
| 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 | 1740334002 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2016-12-12 |
Provider Mailing Address Detail
| Address | 991 State St |
|---|---|
| City | New Haven |
| State | Connecticut (CT) |
| Post Code | 65113993 |
| Phone Number | 2037873669 |
| Fax Number | 2037858416 |
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 |
|---|---|---|---|
| 1184624058 | CT | INDIVIDUAL NPI | |
| 1710988704 | CT | INDIVIDUAL NPI |
Post Comment/ Review Below
What is the unique 10-digit identifier 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) 1740334002 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Pediatric Dentistry Associates, Llc is physically located?
The Pediatric Dentistry Associates, Llc is physically situated at the following address: 991 State St, New Haven, CT, 65113993.
What is Pediatric Dentistry Associates, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Pediatric Dentistry Associates, Llc is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services assign the 1740334002 to Pediatric Dentistry Associates, Llc?
The Centers for Medicare & Medicaid Services assigned the 1740334002 to Pediatric Dentistry Associates, Llc on 2007-01-23.
When was the information regarding Pediatric Dentistry Associates, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Pediatric Dentistry Associates, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-12-12.