Pediatric Dentistry Associates, Llc, NPI 1740334002
Pediatric Dentist in New Haven, CT, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1740334002
NPI Entity Type Organization
Provider Name Pediatric Dentistry Associates, Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 991 State St, New Haven, CT, US
Provider Mailing Address 991 State St, New Haven, CT, US, 065113993
Is Sole Proprietor? No
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Organization Official

Official Name D.M.D. Douglas B. Keck
Official Position OWNER
Phone 203-787-3669

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X MULTIPLE SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

1223P0221X

Taxonomy Name Pediatric Dentist
Classification

Dentist

Group

Dental Providers

License No. 7814
License State CT
Description An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Business Address

Pediatric Dentistry Associates, Llc
991 State St

New Haven, CT, US

Phone: 203-787-3669
Fax: 203-785-8416

Mailing Address

Pediatric Dentistry Associates, Llc
991 State St
New Haven, CT, US
ZIP 065113993
Phone: 203-787-3669
Fax: 203-785-8416

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

1223P0221X

Dental Providers

Dentist

5525 CT No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1184624058 CT INDIVIDUAL NPI 01
1710988704 CT INDIVIDUAL NPI 01

Other Providers in CT, US

NPI Name Taxonomy Address

1285382234

CRNA Lindsey Nelson

Individual

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20 York St

New Haven, CT

1447975818

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Organization

Psychiatric/Mental Health Nurse Practitioner

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1104541564

LMSW Amanda Rose Boccardi

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Social Worker

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FNP Zachary John Manfredi

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Doc Eye Llc

Organization

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1295450633

Holistic Counseling, Llc

Organization

Clinical Social Worker

57 Plains Rd Ste 1e

Milford, CT

1699490037

DR. PHARM.D. Jonathan Blais

Individual

Pharmacist

2800 Main Street

Bridgeport, CT

1336864750

Willow Tree Pediatric Dentistry, Pllc

Organization

Pediatric Dentist

35 Corporate Dr Ste 110

Trumbull, CT

1154043800

Sinfonia Counseling Services, Llc

Organization

Professional Counselor

840 Boston Post Rd Ste 5

West Haven, CT

1801511217

AP:RN Rose Shea

Individual

Psychiatric/Mental Health Nurse Practitioner

189 Orange St

New Haven, CT

1407056930

DR. PH.D. Marcia Gay Hunt

Individual

Psychologist

107 Dwight St

New Haven, CT

1780106690

DR. AU.D. Amanda Ottochian-tripp

Individual

Audiologist

31 Algonquin Dr

Wallingford, CT

1750768156

M.D. Bridget Belingon Walker

Individual

Physical Medicine & Rehabilitation Physician

85 Seymour St Ste 609

Hartford, CT

1982934436

PT Chirag Nikunjkumar Parikh

Individual

Physical Therapist

825 Cromwell Ave Ste Q

Rocky Hill, CT

1992930853

LPC Kathryn Z Sejourne

Individual

Counselor

786 Boston Post Rd

Madison, CT

1255053971

Kind Compassionate Relief Kcr

Organization

Psychiatric/Mental Health Nurse Practitioner

925 Sullivan Ave

South Windsor, CT

1619699337

Effective Community Services Tlc

Organization

In Home Supportive Care Agency

419 Whalley Ave

Floor 1

New Haven, CT

1740905124

Daniel Modlinger

Individual

Community Health Worker

141 E Main St

Waterbury, CT

1588398077

Malika Akilah Reeves

Individual

Physician Assistant

385 W Main St

Avon, CT

1104358522

DR. Drew Cornwell

Individual

Interventional Pain Medicine Physician

2 Riverview Dr

Danbury, CT

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