| Pediatric Dentistry Associates, Llc | |
|
149 Durham Rd Ste 33 Madison CT 06443-2680 | |
| (203) 245-1454 | |
| (203) 245-8998 |
| Full Name | Pediatric Dentistry Associates, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 149 Durham Rd Ste 33, Madison, Connecticut |
| Authorized Official Name and Position | Douglas B. Keck (OWNER) |
| Authorized Official Contact | 2037873669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Associates, Llc 149 Durham Rd Ste 33 Madison CT 06443-2680 Ph: (203) 245-1454 | Pediatric Dentistry Associates, Llc 149 Durham Rd Ste 33 Madison CT 06443-2680 Ph: (203) 245-1454 |
| NPI Number | 1982759791 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982759791 | NPI | - | NPPES |
| 1710988704 | Other | CT | INDIVIDUAL NPI |
| 1760569685 | Other | CT | INDIVIDUAL NPI |
| 1184624058 | Other | CT | INDIVIDUAL NPI |
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