Active NPIOrganization

Professional Dental Alliance Of CT - Pedo, PLLC

Dentist, Pediatric Dentistry in Fairfield, Connecticut

NPI Number1184449977
Practice location
1478 Post RD, Fairfield, CT 06824-5938
Fax
203-255-7782
Last updated
November 18, 2024

Professional Dental Alliance Of CT - Pedo, PLLC is a healthcare organization based in Fairfield, CT. Professional Dental Alliance Of CT - Pedo, PLLC practices in Fairfield, CT. The NPI Number for Professional Dental Alliance Of CT - Pedo, PLLC is 1184449977. The current practice location address for Professional Dental Alliance Of CT - Pedo, PLLC is 1478 Post RD, Fairfield, CT 06824-5938 and can be reached out via phone at 203-307-1550 and via fax at 203-255-7782.

Provider Profile Details

NPI Number
1184449977
Provider Name
Professional Dental Alliance Of CT - Pedo, PLLC
Provider Entity Type
Organization
Address
1478 Post RD, Fairfield, CT 06824-5938
Phone Number
203-307-1550
Fax Number
203-255-7782
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Organization Subpart
No
Authorized Official
Erica Quinteros · Credentialing · 724-901-1964
Other Names
Kids First Pediatric Dentistry & Orthodontics (Doing Business As)
Provider Enumeration Date
November 18, 2024
Last Update Date
November 18, 2024
Certification Date
November 15, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1478 Post RD
Fairfield, CT 06824-5938
Zip
06824-5938
Phone Number
203-307-1550
Fax Number
203-255-7782
Fairfield, CT 06824Get directions →

Provider Business Mailing Address Details

Address
125 Enterprise Dr
Pittsburgh, PA 15275-1223
City
Pittsburgh
State
PA
Zip
15275-1223

License Information

Taxonomy (1)
Dentist, Pediatric Dentistry · 1223P0221X · Primary
Taxonomy (2)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X

Legacy Identifiers

IdentifierTypeStateIssuer
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 Professional Dental Alliance Of CT - Pedo, PLLC?

The NPI number of Professional Dental Alliance Of CT - Pedo, PLLC is 1184449977. It was assigned on November 18, 2024 and is currently active in the NPPES registry.

What is the specialty of Professional Dental Alliance Of CT - Pedo, PLLC?

Professional Dental Alliance Of CT - Pedo, PLLC is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X).

Where does Professional Dental Alliance Of CT - Pedo, PLLC practice?

The practice location is 1478 Post RD, Fairfield, CT 06824-5938. The office can be reached at 203-307-1550 (phone) or 203-255-7782 (fax).

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 1184449977 directly on the NPPES registry website.

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