CHILDREN'S DENTAL ASSOCIATES OF NLC, PC
NPI 1225028657
Dentist - Pediatric Dentistry in Bozrah, CT

Active since October 26, 2005
392 SALEM TPKE, BOZRAH, CT 06334(860) 886-5576(860) 885-1379 Get Directions Write a Review

NPPES record last updated: January 11, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Children's Dental Associates Of Nlc, Pc NPPES

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

CHILDREN'S DENTAL ASSOCIATES OF NLC, PC (NPI 1225028657) is a healthcare organization registered as a pediatric dentistry in Bozrah, Connecticut and active in the NPI registry since October 2005. The organization lists Michelle S Herter, Manger, as its authorized official.

NPPES Registry Identity

NPI1225028657
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCHILDREN'S DENTAL ASSOCIATES OF NLC, PC
Location Address392 SALEM TPKEBozrah, CT 06334-1519
Mailing Address392 Salem TpkeBozrah, CT 06334-1519 · (860) 886-5576 · Fax (860) 885-1379
Fax(860) 885-1379
Organization SubpartNo
Authorized OfficialMichelle S HerterManger · (860) 886-5576
Enumeration DateOctober 26, 2005
Last NPPES UpdateJanuary 11, 2011
NPI 1225028657 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.

392 SALEM TPKE, Bozrah, CT 06334

Other Identifiers 1

Medicaid004119211CT

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 3

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

Dentist (Pediatric Dentistry)
392 SALEM TPKE
BOZRAH, CT 06334
Dentist (Pediatric Dentistry)
392 SALEM TPKE, CHILDREN'S DENTAL ASSOCIATES OF NEW LONDON COUNTY, PC
BOZRAH, CT 06334
Dentist (Pediatric Dentistry)
392 SALEM TPKE
BOZRAH, CT 06334

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 Children's Dental Associates Of Nlc, PC's NPI number?

The NPI number for Children's Dental Associates Of Nlc, PC is 1225028657. It was assigned to this organization in the NPPES registry on October 26, 2005.

Where is Children's Dental Associates Of Nlc, PC located?

Children's Dental Associates Of Nlc, PC is located at 392 Salem Tpke, Bozrah, CT 06334. The listed phone number is (860) 886-5576.

What is Children's Dental Associates Of Nlc, PC'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 Children's Dental Associates Of Nlc, PC was last updated on January 11, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.