Pediatric Dental Sedation Specialist Of Connecticut LLC
Dentist, Dentist Anesthesiologist Speciality in Norwalk, Connecticut
1053704445- Practice location
- 120 East Ave, Norwalk, CT 06851-5703
- Phone
- 203-817-2534
- Fax
- —
- Last updated
- August 17, 2015
Pediatric Dental Sedation Specialist Of Connecticut LLC is a healthcare organization based in Norwalk, CT. Pediatric Dental Sedation Specialist Of Connecticut LLC practices in Norwalk, CT. The NPI Number for Pediatric Dental Sedation Specialist Of Connecticut LLC is 1053704445 and holds a License No. 010473 (CT). The current practice location address for Pediatric Dental Sedation Specialist Of Connecticut LLC is 120 East Ave, Norwalk, CT 06851-5703 and can be reached out via phone at 203-817-2534.
Provider Profile Details
- NPI Number
- 1053704445
- Provider Name
- Pediatric Dental Sedation Specialist Of Connecticut LLC
- Provider Entity Type
- Organization
- Address
- 120 East Ave, Norwalk, CT 06851-5703
- Phone Number
- 203-817-2534
- Primary Taxonomy
- Dentist, Dentist Anesthesiologist Speciality · 1223D0004X
- Organization Subpart
- No
- Authorized Official
- Dr. Jessica Lynn Levy, DDS · Member · 917-841-7780
- Other Names
- Pediatric Dental Sedation Specialists Of Connecticut (Doing Business As)
- Provider Enumeration Date
- March 10, 2015
- Last Update Date
- August 17, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 120 East Ave
Norwalk, CT 06851-5703 - City
- Norwalk
- State
- Connecticut
- Zip
- 06851-5703
- Phone Number
- 203-817-2534
Provider Business Mailing Address Details
- Address
- 17A Sintsink Dr W
Port Washington, NY 11050-2015 - City
- Port Washington
- State
- NY
- Zip
- 11050-2015
- Phone Number
- 248-217-4590
License Information
- License Number (1)
- 010473
- License State (1)
- CT
- Taxonomy (1)
- Dentist, Pediatric Dentistry · 1223P0221X
- License Number (2)
- 005945
- License State (2)
- CT
- Taxonomy (2)
- Dentist, Endodontics · 1223E0200X
- License Number (3)
- 010495
- License State (3)
- CT
- Taxonomy (3)
- Dentist, Dentist Anesthesiologist Speciality · 1223D0004X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Pediatric Dental Sedation Specialist Of Connecticut LLC?
The NPI number of Pediatric Dental Sedation Specialist Of Connecticut LLC is 1053704445. It was assigned on March 10, 2015 and is currently active in the NPPES registry.
What is the specialty of Pediatric Dental Sedation Specialist Of Connecticut LLC?
Pediatric Dental Sedation Specialist Of Connecticut LLC is registered under the primary taxonomy Dentist, Dentist Anesthesiologist Speciality (code 1223D0004X), licensed in CT under license number 010473.
Where does Pediatric Dental Sedation Specialist Of Connecticut LLC practice?
The practice location is 120 East Ave, Norwalk, CT 06851-5703. The office can be reached at 203-817-2534 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053704445 directly on the NPPES registry website.