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Pediatric Dentistry Associates, Llc
Pediatric Dentist in Madison, Connecticut
NPI 1982759791

Pediatric Dentistry Associates, Llc is a Pediatric Dentist based in Madison, CT and is specialized in Pediatric Dentistry. Pediatric Dentistry Associates, Llc practices in Madison, CT. The NPI Number for Pediatric Dentistry Associates, Llc is 1982759791 and holds a License No. 5525 (Connecticut).

The current practice location address for Pediatric Dentistry Associates, Llc is 149 Durham Rd Ste 33, Madison, CT and can be reached out via phone at 203-245-1454 and via fax at 203-245-8998.

Location: 149 Durham Rd Ste 33, Madison, CT, 06443-2680
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982759791
Provider Name
Pediatric Dentistry Associates, Llc
Credential
Provider Entity Type
Organization
Address
149 Durham Rd Ste 33, Madison, CT, 06443-2680
Phone Number
203-245-1454
Fax Number
203-245-8998
Provider Enumeration Date
01/24/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1710988704 01 CT INDIVIDUAL NPI
1760569685 01 CT INDIVIDUAL NPI
1184624058 01 CT INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
149 Durham Rd Ste 33
City
Madison
State
Connecticut
Zip
06443-2680
Phone Number
203-245-1454
Fax Number
203-245-8998
person
Provider Business Mailing Address Details
Address
149 Durham Rd Ste 33
City
Madison
State
Connecticut
Zip
06443-2680
Phone Number
203-245-1454
Fax Number
203-245-8998
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
5525 (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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