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PEDIATRIC DENTISTRY ASSOCIATES, LLC
NPI 1740334002
Dentist - Pediatric Dentistry in New Haven, CT

Active since January 23, 2007
991 STATE ST, NEW HAVEN, CT 06511(203) 787-3669(203) 785-8416 Get Directions Write a Review

NPPES record last updated: December 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Dentistry Associates, Llc NPPES

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

PEDIATRIC DENTISTRY ASSOCIATES, LLC (NPI 1740334002) is a healthcare organization registered as a pediatric dentistry in New Haven, Connecticut and active in the NPI registry since January 2007. The organization lists Douglas B. Keck, Owner, as its authorized official.

NPPES Registry Identity

NPI1740334002
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTISTRY ASSOCIATES, LLC
Location Address991 STATE STNew Haven, CT 06511-3993
Mailing Address991 State StNew Haven, CT 06511-3993 · (203) 787-3669 · Fax (203) 785-8416
Phone(203) 787-3669
Fax(203) 785-8416
Organization SubpartNo
Authorized OfficialDouglas B. KeckOwner · (203) 787-3669
Enumeration DateJanuary 23, 2007
Last NPPES UpdateDecember 12, 2016
✔ NPI 1740334002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in CT · 7814✔ Licensed in CT · 5525
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.
991 STATE ST, New Haven, CT 06511
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Other Identifiers 2

Other1710988704CT · Individual Npi
Other1184624058CT · Individual Npi

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

NADIA S GABRIEL DDS
Dentist (Pediatric Dentistry)
991 STATE ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 787-3669
DR. DONALD WILLIAM KOHN D.D.S.
Dentist (Pediatric Dentistry)
991 STATE ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 787-3669
COLIN KONG, D.M.D., LLC
Clinic/Center (Dental)
991 STATE ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 787-3669
KINNARI DESAI
Dentist (Pediatric Dentistry)
991 STATE ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 787-3669
DR. AMY O'CALLAGHAN, LLC
Clinic/Center (Dental)
991 STATE ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 787-3669
DR. MICHAEL JOHN PAWLOWSKI D.D.S.
Dentist (Pediatric Dentistry)
991 STATE ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 787-3669
DR. DOUGLAS B KECK D.M.D.
Dentist (Pediatric Dentistry)
991 STATE ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 787-3669

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 Dentistry Associates, LLC's NPI number?

The NPI number for Pediatric Dentistry Associates, LLC is 1740334002. It was assigned to this organization in the NPPES registry on January 23, 2007.

Where is Pediatric Dentistry Associates, LLC located?

Pediatric Dentistry Associates, LLC is located at 991 State St, New Haven, CT 06511. The listed phone number is (203) 787-3669.

What is Pediatric Dentistry Associates, 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 Dentistry Associates, LLC was last updated on December 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.