Pediatric Dentistry Associates, Llc is a Pediatric Dental Clinic in New Haven, Connecticut. It is located at 991 State St, New Haven, CT and its contact number is 203-787-3669. 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 7814 (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:
991 State St, New Haven, Connecticut, 06511-3993
Phone:
203-787-3669
Fax:
203-785-8416
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:
1740334002
NPI Enumeration Date:
23 Jan, 2007
NPI Last Update On:
12 Dec, 2016
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
7814
Connecticut
Primary
Pediatric Dentistry
5525
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
1184624058
Other
Connecticut
Individual Npi
1710988704
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 991 State St, New Haven, Connecticut
Zip:
06511-3993
Phone Number:
203-787-3669
Fax Number:
203-785-8416
Patients can reach Pediatric Dentistry Associates, Llc at 991 State St, New Haven, Connecticut or can call to book an appointment on 203-787-3669. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.