Pediatric Dental Associates Of Southbury Llc
Pediatric Dental Clinic
1 Pomperaug Office Park, Suite 206, Southbury
Connecticut, 06488-2295
203-264-1497 203-264-4039
Maps & DirectionsPediatric Dental Associates Of Southbury Llc is a Pediatric Dental Clinic in Southbury, Connecticut. It is located at 1 Pomperaug Office Park, Suite 206, Southbury, CT and its contact number is 203-264-1497. The authorized person for Pediatric Dental Associates Of Southbury Llc is Ms. Marguerite C Gillette
who is Office Manager of the clinic and their contact number is 203-264-1497. The primary license number for Pediatric Dental Associates Of Southbury Llc is 007834 (Pediatric Dentistry) in Connecticut.
Pediatric Dental Associates Of Southbury Llc Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Pediatric Dental Associates Of Southbury Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Pediatric Dental Associates Of Southbury Llc |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 1 Pomperaug Office Park, Suite 206, Southbury,
Connecticut, 06488-2295 |
| Phone: | 203-264-1497 |
| Fax: | 203-264-4039 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Ms. Marguerite C Gillette |
| Position: | Office Manager |
| Contact Number: | 203-264-1497 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details for Pediatric Dental Associates Of Southbury Llc clinic are as mentioned below.
| NPI Number: | 1629225875 |
| NPI Enumeration Date: | 19 Aug, 2008 |
| NPI Last Update On: | 19 Aug, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pediatric Dental Associates Of Southbury Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | 007834 | Connecticut | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 008001055 | Medicaid | Connecticut | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Pediatric Dental Associates Of Southbury Llc
1 Pomperaug Office Park, Suite 206
Southbury, Connecticut |
| Zip: | 06488-2295 |
| Phone Number: | 203-264-1497 |
| Fax Number: | 203-264-4039 |
Patients can reach Pediatric Dental Associates Of Southbury Llc at
1 Pomperaug Office Park, Suite 206, Southbury, Connecticut or can
call to book an appointment on 203-264-1497.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.