Pediatric Dentistry Associates, Llc
Pediatric Dental Clinic
149 Durham Rd Ste 33, Madison
Connecticut, 06443-2680
203-245-1454 203-245-8998
Maps & DirectionsPediatric Dentistry Associates, Llc is a Pediatric Dental Clinic in Madison, Connecticut. It is located at 149 Durham Rd Ste 33, Madison, CT and its contact number is 203-245-1454. The authorized person for Pediatric Dentistry Associates, Llc is Douglas B. Keck
who is Owner of the clinic and their contact number is 203-787-3669. The primary license number for Pediatric Dentistry Associates, Llc is 9409 (Pediatric Dentistry) in Connecticut.
Pediatric Dentistry Associates, 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 Dentistry Associates, 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 Dentistry Associates, Llc |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 149 Durham Rd Ste 33, Madison,
Connecticut, 06443-2680 |
| Phone: | 203-245-1454 |
| Fax: | 203-245-8998 |
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: | Douglas B. Keck |
| Position: | Owner |
| Contact Number: | 203-787-3669 |
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 Dentistry Associates, Llc clinic are as mentioned below.
| NPI Number: | 1982759791 |
| NPI Enumeration Date: | 24 Jan, 2007 |
| NPI Last Update On: | 22 Aug, 2020 |
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 Dentistry Associates, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | 9409 | Connecticut | Primary | |
| Pediatric Dentistry | 5525 | Connecticut | Secondary | |
| Pediatric Dentistry | 7814 | Connecticut | Secondary | |
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 |
| 1710988704 | Other | Connecticut | Individual Npi |
| 1760569685 | Other | Connecticut | Individual Npi |
| 1184624058 | Other | Connecticut | Individual Npi |
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 Dentistry Associates, Llc
149 Durham Rd Ste 33,
Madison, Connecticut |
| Zip: | 06443-2680 |
| Phone Number: | 203-245-1454 |
| Fax Number: | 203-245-8998 |
Patients can reach Pediatric Dentistry Associates, Llc at
149 Durham Rd Ste 33, Madison, Connecticut or can
call to book an appointment on 203-245-1454.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.