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Stamford Pediatric Dentistry, Llc
Oral and Maxillofacial Surgery Clinic/Center in Stamford, Connecticut
NPI 1447548805

Stamford Pediatric Dentistry, Llc is a Oral and Maxillofacial Surgery Clinic/Center based in Stamford, CT and is specialized in Oral and Maxillofacial Surgery. Stamford Pediatric Dentistry, Llc practices in Stamford, CT. The NPI Number for Stamford Pediatric Dentistry, Llc is 1447548805 and holds a License No. 9846 (Connecticut).

The current practice location address for Stamford Pediatric Dentistry, Llc is 4 Long Ridge Rd, Stamford, CT and can be reached out via phone at 860-342-4141 and via fax at 860-342-1284.

Location: 4 Long Ridge Rd, Stamford, CT, 06905-3802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447548805
Provider Name
Stamford Pediatric Dentistry, Llc
Credential
Provider Entity Type
Organization
Address
4 Long Ridge Rd, Stamford, CT, 06905-3802
Phone Number
860-342-4141
Fax Number
860-342-1284
Provider Enumeration Date
07/19/2011
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
4 Long Ridge Rd
City
Stamford
State
Connecticut
Zip
06905-3802
Phone Number
860-342-4141
Fax Number
860-342-1284
person
Provider Business Mailing Address Details
Address
4 Long Ridge Rd
City
Stamford
State
Connecticut
Zip
06905-3802
Phone Number
860-342-4141
Fax Number
860-342-1284
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
009846 (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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
9920 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
261QS0112X
License No.
9846 (Connecticut)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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