| Pediatric Dentistry Associates | |
|
991 State St New Haven CT 06511-3993 | |
| (203) 787-3669 | |
| Not Available |
| Full Name | Pediatric Dentistry Associates |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 991 State St, New Haven, Connecticut |
| Authorized Official Name and Position | Kendra Smith (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 2037873669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Associates 991 State St New Haven CT 06511-3993 Ph: (203) 787-3669 | Pediatric Dentistry Associates 991 State St New Haven CT 06511-3993 Ph: (203) 787-3669 |
| NPI Number | 1265976260 |
|---|---|
| Provider Enumeration Date | 12/09/2016 |
| Last Update Date | 12/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265976260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 11032 (Connecticut) | Primary |
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