Organization · Type 2 NPI

Yale-New Haven Hospital

Pediatric Dentistry · New Haven, CT

NPI number 1790170033 Active

Practice location

1 Long Wharf Dr, Suite 403
New Haven, CT 06511-5991

Fax (203) 688-3050

Mailing address

20 York Street - Dental
New Haven, CT 06510-3202

Specialties and licenses

TaxonomyCodeLicense
Dental Anesthesiology 1223D0004X044 (CT)
Pediatric Dentistry Primary 1223P0221X044 (CT)
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X044 (CT)
Dental Hygienist 124Q00000X044 (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.

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About NPI 1790170033

Yale-New Haven Hospital's National Provider Identifier is 1790170033, issued on Apr 3, 2015. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in New Haven, CT. The record was last updated on Apr 18, 2016.