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Pediatric Dental Sedation Specialist Of Connecticut Llc
Pediatric Dentist in Norwalk, Connecticut
NPI 1053704445

Pediatric Dental Sedation Specialist Of Connecticut Llc is a Pediatric Dentist based in Port Washington, CT and is specialized in Pediatric Dentistry. 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. 010495 (Connecticut).

The current practice location address for Pediatric Dental Sedation Specialist Of Connecticut Llc is 120 East Ave, Norwalk, CT and can be reached out via phone at 203-817-2534. You can also correspond with Pediatric Dental Sedation Specialist Of Connecticut Llc through the mailing address at 17A SINTSINK DR W, PORT WASHINGTON, NY - 11050-2015 (mailing address contact number: 248-217-4590).

Location: 120 East Ave, Norwalk, CT, 11050-2015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053704445
Provider Name
Pediatric Dental Sedation Specialist Of Connecticut Llc
Credential
Provider Entity Type
Organization
Address
120 East Ave, Norwalk, CT, 11050-2015
Phone Number
203-817-2534
Fax Number
Provider Enumeration Date
03/10/2015
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
120 East Ave
City
Norwalk
State
Connecticut
Zip
06851-5703
Phone Number
203-817-2534
Fax Number
person
Provider Business Mailing Address Details
Address
17A Sintsink Dr W
City
Port Washington
State
New York
Zip
11050-2015
Phone Number
248-217-4590
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Dentist Anesthesiologist
Taxonomy
1223D0004X
License No.
010473 (Connecticut)
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Endodontics
Taxonomy
1223E0200X
License No.
005945 (Connecticut)
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
person
Provider's Taxonomy Details 3
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
010495 (Connecticut)
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.
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