Organization · Type 2 NPI
Tooth Fairy Pediatric Dentistry
Pediatric Dentistry · Ridgefield, CT
NPI number
1609016963
Active
Practice location
35 Copps Hill Rd, Suite 6
Ridgefield, CT 06877-4041
Fax (203) 403-2545
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | None listed |
| Dental Anesthesiology | 1223D0004X | None listed |
| Pediatric Dentistry Primary | 1223P0221X | 9091 (CT) |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 9135 (CT) |
Pediatric Dentistry: 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.
2 other providers at this address
About NPI 1609016963
Tooth Fairy Pediatric Dentistry's National Provider Identifier is 1609016963, issued on Feb 26, 2009. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Ridgefield, CT. The record was last updated on Nov 24, 2014.