Active NPIOrganization

Pediatric Dentistry Associates, LLC

Dentist, Pediatric Dentistry in New Haven, Connecticut

NPI Number1740334002
Practice location
991 State St, New Haven, CT 06511-3993
Fax
203-785-8416
Last updated
December 12, 2016

Pediatric Dentistry Associates, LLC is a healthcare organization based in New Haven, CT. Pediatric Dentistry Associates, LLC practices in New Haven, CT. The NPI Number for Pediatric Dentistry Associates, LLC is 1740334002 and holds a License No. 5525 (CT). The current practice location address for Pediatric Dentistry Associates, LLC is 991 State St, New Haven, CT 06511-3993 and can be reached out via phone at 203-787-3669 and via fax at 203-785-8416.

Provider Profile Details

NPI Number
1740334002
Provider Name
Pediatric Dentistry Associates, LLC
Provider Entity Type
Organization
Address
991 State St, New Haven, CT 06511-3993
Phone Number
203-787-3669
Fax Number
203-785-8416
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Organization Subpart
No
Authorized Official
Douglas B. Keck, DMD · Owner · 203-787-3669
Provider Enumeration Date
January 23, 2007
Last Update Date
December 12, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
991 State St
New Haven, CT 06511-3993
Zip
06511-3993
Phone Number
203-787-3669
Fax Number
203-785-8416
New Haven, CT 06511Get directions →

Provider Business Mailing Address Details

Address
991 State St
New Haven, CT 06511-3993
City
New Haven
State
CT
Zip
06511-3993
Phone Number
203-787-3669
Fax Number
203-785-8416

License Information

License Number (1)
5525
License State (1)
CT
Taxonomy (1)
Dentist, Pediatric Dentistry · 1223P0221X
License Number (2)
7814
License State (2)
CT
Taxonomy (2)
Dentist, Pediatric Dentistry · 1223P0221X · Primary

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 Pediatric Dentistry Associates, LLC?

The NPI number of Pediatric Dentistry Associates, LLC is 1740334002. It was assigned on January 23, 2007 and is currently active in the NPPES registry.

What is the specialty of Pediatric Dentistry Associates, LLC?

Pediatric Dentistry Associates, LLC is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in CT under license number 5525.

Where does Pediatric Dentistry Associates, LLC practice?

The practice location is 991 State St, New Haven, CT 06511-3993. The office can be reached at 203-787-3669 (phone) or 203-785-8416 (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 1740334002 directly on the NPPES registry website.

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