SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY LLC NPI 1922122332

NPI Information

SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC is a pediatric dentistry dentist in Weatogue, CT. The provider is 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. SIMSBURY PEDIATRIC & ADOLESCENT DENTISTRY, LLC NPI is 1922122332. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

381 HOPMEADOW ST
SUITE 202
WEATOGUE, CT
ZIP 06089-692
Phone: (860) 658-7548
Fax: (860) 658-7516

The provider's authorized official is Maryam Azadpur .
The authorized official title is Dentist, Owner and has the following contact phone number (860) 658-7548.

The CLIA number assigned to this NPI record is 07D0093397 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.