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PEDIATRIC DENTAL CENTER OF AVON, LLC
NPI 1033562210
Dentist - Pediatric Dentistry in Avon, CT

Active since July 22, 2016
44 DALE RD STE 305, AVON, CT 06001(860) 674-8417(860) 674-8462 Get Directions Write a Review

NPPES record last updated: July 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Dental Center Of Avon, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC DENTAL CENTER OF AVON, LLC (NPI 1033562210) is a healthcare organization registered as a pediatric dentistry in Avon, Connecticut and active in the NPI registry since July 2016. The organization lists Jeanmarie Ann Cosgrove, Owner, as its authorized official.

NPPES Registry Identity

NPI1033562210
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTAL CENTER OF AVON, LLC
Location Address44 DALE RD STE 305Avon, CT 06001-4351
Mailing Address44 Dale Rd Ste 305Avon, CT 06001-4351 · (860) 674-8417 · Fax (860) 674-8462
Phone(860) 674-8417
Fax(860) 674-8462
Organization SubpartNo
Authorized OfficialJeanmarie Ann CosgroveOwner · (860) 674-8417
Enumeration DateJuly 22, 2016
✔ NPI 1033562210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
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.
44 DALE RD STE 305, Avon, CT 06001
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Other Identifiers 1

Medicaid002088559CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STACI ROBINSON ALLEN DDS
Dentist (Pediatric Dentistry)
44 DALE RD STE 305
AVON, CT 06001
Capitol Planning Region (860) 674-8417

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Dental Center Of Avon, LLC's NPI number?

The NPI number for Pediatric Dental Center Of Avon, LLC is 1033562210. It was assigned to this organization in the NPPES registry on July 22, 2016.

Where is Pediatric Dental Center Of Avon, LLC located?

Pediatric Dental Center Of Avon, LLC is located at 44 Dale Rd Ste 305, Avon, CT 06001. The listed phone number is (860) 674-8417.

What is Pediatric Dental Center Of Avon, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Pediatric Dental Center Of Avon, LLC was last updated on July 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.