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PEDIATRIC DENTAL SEDATION SPECIALIST OF CONNECTICUT LLC NPI 1053704445


NPI Information

NPI: 1053704445
Provider Name: PEDIATRIC DENTAL SEDATION SPECIALIST OF CONNECTICUT LLC

Doing Business As: PEDIATRIC DENTAL SEDATION SPECIALISTS OF CONNECTICUT

Classification: Dentist - 1223D0004X
Entity Type: Organization

Specialization: Dentist Anesthesiologist

Address:
120 EAST AVE
NORWALK, CT
ZIP 06851
Phone: (203) 817-2534
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PEDIATRIC DENTAL SEDATION SPECIALIST OF CONNECTICUT LLC is a dentist anesthesiologist dentist in Norwalk, CT. The provider is a dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. PEDIATRIC DENTAL SEDATION SPECIALIST OF CONNECTICUT LLC NPI is 1053704445. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pediatric Dental Sedation Specialists Of Connecticut.

The provider's business location address is:

120 EAST AVE
NORWALK, CT
ZIP 06851-703
Phone: (203) 817-2534

The provider's authorized official is Jessica Lynn Levy .
The authorized official title is Member and has the following contact phone number (917) 841-7780.

The enumeration date for this NPI number is 3/10/2015 and was last updated on 8/17/2015.


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 Dentistry010473CONNECTICUTNo
21223E0200XDentistEndodontics005945CONNECTICUTNo
31223D0004XDentistDentist Anesthesiologist010495CONNECTICUTYes

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

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.