Pediatric Dentistry Associates, LLC
Pediatric Dentistry Associates, LLC is a Pediatric Dentistry in Madison, Connecticut. Licensed in Connecticut. Registered with an NPI since 2007.
- Licensed in
- CT
- In the registry since
- 2007
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
149 Durham Rd Ste 33Madison, CT 06443-2680
Phone: (203) 245-1454
Fax: (203) 245-8998
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X · Licence 9409 (CT) |
|---|---|
| Pediatric Dentistry | Taxonomy 1223P0221X · Licence 5525 (CT) |
| Pediatric Dentistry | Taxonomy 1223P0221X · Licence 7814 (CT) |
Record details
| NPI number | 1982759791 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Douglas Keck — Owner · (203) 787-3669 |
| NPI enumerated | January 24, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 149 Durham Rd Ste 33, Madison, CT 06443-2680 |