Organization · Type 2 NPI

Pediatric Dental Sedation Specialist of Connecticut LLC

Dental Anesthesiology · Norwalk, CT

NPI number 1053704445 Active

Practice location

120 East Ave
Norwalk, CT 06851-5703

Mailing address

17A Sintsink Dr W
Port Washington, NY 11050-2015

Specialties and licenses

TaxonomyCodeLicense
Dental Anesthesiology Primary 1223D0004X010495 (CT)
Endodontics 1223E0200X005945 (CT)
Pediatric Dentistry 1223P0221X010473 (CT)

Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.

27 other providers at this address

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About NPI 1053704445

Pediatric Dental Sedation Specialist of Connecticut LLC's National Provider Identifier is 1053704445, issued on Mar 10, 2015. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Norwalk, CT. The record was last updated on Aug 17, 2015.