Organization · Type 2 NPI

Professional Dental Alliance of CT - Pedo, PLLC

Oral and Maxillofacial Surgery (Dentist) · Fairfield, CT

NPI number 1942088786 Active

Practice location

1478 Post Rd
Fairfield, CT 06824-5938

Call (203) 307-1550 Map

Fax (203) 255-7782

Mailing address

125 Enterprise Dr Ste 200
Pittsburgh, PA 15275-1223

Other practice locations

493 Westport Ave, Norwalk, CT 06851-4411 · (475) 470-0110
324 Elm St Ste 101B, Monroe, CT 06468-2283 · (203) 292-9595

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry	1223P0221X	None listed
Oral and Maxillofacial Surgery (Dentist) Primary	1223S0112X	None listed

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

14 other providers at this address

NPI record

NPI: 1942088786
Entity type: Organization (Type 2)
Issued: Sep 21, 2023
Last updated: Apr 2, 2024
Status: Active

Other names

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Kids First Pediatric Dentistry & Orthodontics · doing business as
Kids First Pediatric Dentistry & Orthodontics · doing business as

Authorized official

Erica Quinteros
Credentialing
(724) 901-1964

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1942088786

Professional Dental Alliance of CT - Pedo, PLLC's National Provider Identifier is 1942088786, issued on Sep 21, 2023. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fairfield, CT. The record was last updated on Apr 2, 2024.