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CHILDRENS DENTAL CARE OF NORWALK LLC NPI 1083765267


NPI Information

NPI: 1083765267
Provider Name: CHILDRENS DENTAL CARE OF NORWALK LLC

Doing Business As: DENTAL PRACTICE

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
10 MOTT AVE
4C
NORWALK, CT
ZIP 06850
Phone: (203) 866-5020
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CHILDRENS DENTAL CARE OF NORWALK LLC is a pediatric dentistry dentist in Norwalk, 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. CHILDRENS DENTAL CARE OF NORWALK LLC NPI is 1083765267. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dental Practice.

The provider's business location address is:

10 MOTT AVE
4C
NORWALK, CT
ZIP 06850-320
Phone: (203) 866-5020

The provider's authorized official is Cy Wald .
The authorized official title is Dentist and has the following contact phone number (203) 866-5020.

The enumeration date for this NPI number is 1/15/2007 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry04681CONNECTICUTYes

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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