Pediatric Dentistry Associates, Llc
LBN: Pediatric Dentistry Associates, Llc
Pediatric Dentistry Associates, Llc is an health care organization with primary practice located at 991 State St , New Haven CT 06511-3993. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty.
Pediatric Dentistry Associates, Llc can be contacted via phone (203) 787-3669, or through Keck, Douglas B. via phone (203) 787-3669.
Contact Information
Primary practice address
991 State St
New Haven CT 06511-3993
Phone: (203) 787-3669
Fax: (203) 785-8416
Website:
Authorized official contact:
Name: Keck, Douglas B. Doctor of Dental Medicine (DMD)
Phone: (203) 787-3669
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 5525 | Connecticut |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 7814 | Connecticut |
Profile Details
| NPI number | 1740334002 |
|---|---|
| LBN Legal business name | Pediatric Dentistry Associates, Llc |
| DBA Doing business as | |
| Authorized official | Keck, Douglas B. Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Dec 12th, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740334002 | NPPES |
| Connecticut | Other | 1184624058 | INDIVIDUAL NPI |
| Connecticut | Other | 1710988704 | INDIVIDUAL NPI |
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