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ORANGE CHILDREN'S DENTISTRY LLC NPI 1932684990


NPI Information

NPI: 1932684990
Provider Name: ORANGE CHILDREN'S DENTISTRY, LLC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
518 BOSTON POST RD STE 4-5
ORANGE, CT
ZIP 06477
Phone: (860) 970-2332
Get Directions

ORANGE CHILDREN'S DENTISTRY, LLC is a pediatric dentistry dentist in Orange, 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. ORANGE CHILDREN'S DENTISTRY, LLC NPI is 1932684990. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

518 BOSTON POST RD STE 4-5
ORANGE, CT
ZIP 06477-554
Phone: (860) 970-2332

The provider's authorized official is Paula C Cerqueira .
The authorized official title is Owner and has the following contact phone number (860) 970-2332.

The enumeration date for this NPI number is 9/26/2018 and was last updated on 9/26/2018.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric DentistryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10042366354MEDICAIDCONNECTICUT
21427027911OTHERCONNECTICUTNPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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