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Pediatric Dental Associates Of Southbury Llc
Pediatric Dentist in Southbury, Connecticut
NPI 1629225875

Pediatric Dental Associates Of Southbury Llc is a Pediatric Dentist based in Southbury, CT and is specialized in Pediatric Dentistry. Pediatric Dental Associates Of Southbury Llc practices in Southbury, CT. The NPI Number for Pediatric Dental Associates Of Southbury Llc is 1629225875 and holds a License No. 007834 (Connecticut).

The current practice location address for Pediatric Dental Associates Of Southbury Llc is 1 Pomperaug Office Park, Southbury, CT and can be reached out via phone at 203-264-1497 and via fax at 203-264-4039.

Location: 1 Pomperaug Office Park, Southbury, CT, 06488-2295
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629225875
Provider Name
Pediatric Dental Associates Of Southbury Llc
Credential
Provider Entity Type
Organization
Address
1 Pomperaug Office Park, Southbury, CT, 06488-2295
Phone Number
203-264-1497
Fax Number
203-264-4039
Provider Enumeration Date
08/19/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008001055 05 CT
institution
Provider Business Practice Location Address Details
Address
1 Pomperaug Office Park
City
Southbury
State
Connecticut
Zip
06488-2295
Phone Number
203-264-1497
Fax Number
203-264-4039
person
Provider Business Mailing Address Details
Address
1 Pomperaug Office Park
City
Southbury
State
Connecticut
Zip
06488-2295
Phone Number
203-264-1497
Fax Number
203-264-4039
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
007834 (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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