Pediatric Dentistry Associates, LLC
Dentist, Pediatric Dentistry in New Haven, Connecticut
1740334002- Practice location
- 991 State St, New Haven, CT 06511-3993
- Phone
- 203-787-3669
- 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 - City
- New Haven
- State
- Connecticut
- Zip
- 06511-3993
- Phone Number
- 203-787-3669
- Fax Number
- 203-785-8416
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Pediatric Dentistry providers near New Haven, CT
View all Dentist, Pediatric Dentistry providers in New Haven →- Dr. Elise M Cozzi, DMDDentist, Pediatric Dentistry · NPI 1811027444
- Dr. Lisa M Gilkes, DDSDentist, Pediatric Dentistry · NPI 1619020104
- Dr. Sara Ysaac-Garcia, DMDDentist, Pediatric Dentistry · NPI 1871782458
- Dr. Suher Baker, BDS, DMD, MSDentist, Pediatric Dentistry · NPI 1093916330
- Kinnari DesaiDentist, Pediatric Dentistry · NPI 1417139916
- Nadia S Gabriel, DDSDentist, Pediatric Dentistry · NPI 1013538297
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.