Pediatric Dentistry Associates, Llc

LBN: Pediatric Dentistry Associates, Llc
Pediatric Dentistry Associates, Llc is an health care organization with primary practice located at 149 Durham Rd Ste 33 , Madison CT 06443-2680. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Pediatric Dentistry Associates, Llc can be contacted via phone (203) 245-1454, or through Keck, Douglas B. via phone (203) 787-3669.

Contact Information

Primary practice address
149 Durham Rd Ste 33 Madison CT 06443-2680
Phone: (203) 245-1454
Fax: (203) 245-8998
Website:
Map and Directions
Authorized official contact:
Name: Keck, Douglas B. Doctor of Dental Medicine (DMD)
Phone: (203) 787-3669

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 5525 Connecticut
Dental Providers / Pediatric Dentistry 1223P0221X 7814 Connecticut
Dental Providers / Pediatric Dentistry 1223P0221X 9409 Connecticut

Profile Details

NPI number 1982759791
LBN Legal business name Pediatric Dentistry Associates, Llc
DBA Doing business as
Authorized official Keck, Douglas B. Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Aug 22nd, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982759791 NPPES
Connecticut Other 1710988704 INDIVIDUAL NPI
Connecticut Other 1760569685 INDIVIDUAL NPI
Connecticut Other 1184624058 INDIVIDUAL NPI

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