Pediatric 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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.