Organization · Type 2 NPI
Pediatric Dental Associates of Southbury LLC
Pediatric Dentistry · Southbury, CT
NPI number
1629225875
Active
Practice location
1 Pomperaug Office Park, Suite 206
Southbury, CT 06488-2295
Fax (203) 264-4039
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 007834 (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.
5 other providers at this address
- Odin de Los Reyes DPM IncPrimary Podiatric Medicine Podiatrist Southbury, CT NPI 1205050630
- Annmarie Delessio-Matta, DMDPediatric Dentistry Southbury, CT NPI 1093782476
- Antonio Lepore, DDSPediatric Dentistry Southbury, CT NPI 1023085073
- Odin Delos Reyes, D.P.MPrimary Podiatric Medicine Podiatrist Southbury, CT NPI 1679682249
- Richard Nicholas Biondi, MDInternal Medicine Physician Southbury, CT NPI 1619931623
Other pediatric dentistry providers in Southbury
About NPI 1629225875
Pediatric Dental Associates of Southbury LLC's National Provider Identifier is 1629225875, issued on Aug 19, 2008. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Southbury, CT. The record was last updated on Aug 19, 2008.