PEDIATRIC DENTAL SEDATION SPECIALISTS OF CONNECTICUT
NPI 1053704445
Dentist - Dentist Anesthesiologist in Norwalk, CT

Active since March 10, 2015
120 EAST AVE, NORWALK, CT 06851(203) 817-2534 Get Directions Write a Review

NPPES record last updated: August 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Dental Sedation Specialists Of Connecticut NPPES

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

PEDIATRIC DENTAL SEDATION SPECIALISTS OF CONNECTICUT (NPI 1053704445) is a healthcare organization registered as a dentist anesthesiologist in Norwalk, Connecticut and active in the NPI registry since March 2015. The organization lists Jessica Lynn Levy, Member, as its authorized official.

NPPES Registry Identity

NPI1053704445
Entity TypeOrganization
Primary Taxonomy1223D0004X
Legal Business NamePEDIATRIC DENTAL SEDATION SPECIALIST OF CONNECTICUT LLC
Location Address120 EAST AVENorwalk, CT 06851-5703
Mailing Address17a Sintsink Dr WPort Washington, NY 11050-2015 · (248) 217-4590
Organization SubpartNo
Authorized OfficialJessica Lynn LevyMember · (917) 841-7780
Enumeration DateMarch 10, 2015
Last NPPES UpdateAugust 17, 2015
NPI 1053704445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers
Taxonomy Code1223D0004X
License Licensed in CT · 010495
Definition
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.
Also ListedDentist · EndodonticsTaxonomy 1223E0200X · License 005945 (CT)
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X · License 010473 (CT)
120 EAST AVE, Norwalk, CT 06851

Other Names 1

Doing Business AsPediatric Dental Sedation Specialists Of Connecticut

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
120 EAST AVE, 2ND FLOOR
NORWALK, CT 06851
Early Intervention Provider Agency
120 EAST AVE
NORWALK, CT 06851
Clinic/Center (Ambulatory Surgical)
120 EAST AVE
NORWALK, CT 06851
Counselor (Professional)
120 EAST AVE
NORWALK, CT 06851
Dentist (Endodontics)
120 EAST AVE
NORWALK, CT 06851
Counselor (Mental Health)
120 EAST AVE, 2ND FLOOR
NORWALK, CT 06851
Counselor (Mental Health)
120 EAST AVE
NORWALK, CT 06851
Social Worker
120 EAST AVE
NORWALK, CT 06851

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 Sedation Specialist Of Connecticut LLC's NPI number?

The NPI number for Pediatric Dental Sedation Specialist Of Connecticut LLC is 1053704445. It was assigned to this organization in the NPPES registry on March 10, 2015. The provider is doing business as Pediatric Dental Sedation Specialists Of Connecticut.

Where is Pediatric Dental Sedation Specialist Of Connecticut LLC located?

Pediatric Dental Sedation Specialist Of Connecticut LLC is located at 120 East Ave, Norwalk, CT 06851. The listed phone number is (203) 817-2534.

What is Pediatric Dental Sedation Specialist Of Connecticut LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

When was this NPI record last updated?

The NPPES record for Pediatric Dental Sedation Specialist Of Connecticut LLC was last updated on August 17, 2015. 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.