Pediatric Dental Associates Of Southbury Llc

LBN: Pediatric Dental Associates Of Southbury Llc
Pediatric Dental Associates Of Southbury Llc is an health care organization with primary practice located at 1 Pomperaug Office Park Suite 206, Southbury CT 06488-2295. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Pediatric Dental Associates Of Southbury Llc can be contacted via phone (203) 264-1497, or through Gillette, Marguerite C via phone (203) 264-1497.

Contact Information

Primary practice address
1 Pomperaug Office Park Suite 206 Southbury CT 06488-2295
Phone: (203) 264-1497
Fax: (203) 264-4039
Website:
Map and Directions
Authorized official contact:
Name: Gillette, Marguerite C
Phone: (203) 264-1497

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 007834 Connecticut

Profile Details

NPI number 1629225875
LBN Legal business name Pediatric Dental Associates Of Southbury Llc
DBA Doing business as
Authorized official Gillette, Marguerite C
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2008
Last updated Aug 19th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1629225875 NPPES
Connecticut MEDICAID 008001055

Popular Providers