Pediatric Dental Associates Of Southbury Llc in Southbury - Pediatric Dentistry
Pediatric Dental Associates Of Southbury Llc - NPI 1629225875
Pediatric Dental Associates Of Southbury Llc is a Pediatric Dentistry in Southbury, Connecticut. Pediatric Dental Associates Of Southbury Llc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Pediatric Dental Associates Of Southbury Llc is 1629225875. The last update date is 2008-08-19.
Pediatric Dental Associates Of Southbury Llc's current location address is 1 Pomperaug Office Park, Southbury, Connecticut. You can contact this provider via phone number 2032641497 and fax number 2032644039. The mailing address for Pediatric Dental Associates Of Southbury Llc is 1 Pomperaug Office Park, Southbury, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Dental Associates Of Southbury Llc |
|---|---|
| Address | 1 Pomperaug Office Park, Southbury, Connecticut |
| Phone Number | 2032641497 |
| Fax Number | 2032644039 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Gillette C Marguerite |
| Telephone Number | 2032641497 |
NPI Number Detail
| NPI Number | 1629225875 |
|---|---|
| Provider Enumeration Date | 2008-08-19 |
| Last Updated Date | 2008-08-19 |
Provider Mailing Address Detail
| Address | 1 Pomperaug Office Park |
|---|---|
| City | Southbury |
| State | Connecticut (CT) |
| Post Code | 64882295 |
| Phone Number | 2032641497 |
| Fax Number | 2032644039 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 7834 |
|
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 |
|---|---|---|---|
| 8001055 | CT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Pediatric Dental Associates Of Southbury Llc by the Centers for Medicare & Medicaid Services?
The Pediatric Dental Associates Of Southbury Llc has been issued the NPI (National Provider Identifier) 1629225875 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Pediatric Dental Associates Of Southbury Llc?
The Pediatric Dental Associates Of Southbury Llc is physically situated at 1 Pomperaug Office Park, in the city of Southbury, state of CT, with the postal code 64882295.
What is Pediatric Dental Associates Of Southbury Llc's area of expertise and its corresponding taxonomy classification?
The Pediatric Dental Associates Of Southbury Llc's field of specialization is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their areas of practice.
On what date did Pediatric Dental Associates Of Southbury Llc receive its 1629225875 assignment from the Centers for Medicare & Medicaid Services?
The Pediatric Dental Associates Of Southbury Llc was assigned its 1629225875 on 2008-08-19, 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 Dental Associates Of Southbury Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Pediatric Dental Associates Of Southbury Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-08-19.