Pediatric Dentistry Associates, Llc

Pediatric Dental Clinic

 
149 Durham Rd Ste 33, Madison
    Connecticut, 06443-2680

 203-245-1454    203-245-8998 Maps & Directions
Pediatric 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.
SpecializationLicense NumberStateStatus
Pediatric Dentistry 9409ConnecticutPrimary
Pediatric Dentistry 5525ConnecticutSecondary
Pediatric Dentistry 7814ConnecticutSecondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
1710988704OtherConnecticutIndividual Npi
1760569685OtherConnecticutIndividual Npi
1184624058OtherConnecticutIndividual 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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.

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