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ENFIELD PEDIATRIC DENTISTRY LLC
NPI 1790068500
Dentist - Pediatric Dentistry in Enfield, CT

Active since September 28, 2011
233 HAZARD AVENUE, ENFIELD, CT 06082(860) 749-6622 Get Directions Write a Review

NPPES record last updated: September 28, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Enfield Pediatric Dentistry Llc NPPES

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

ENFIELD PEDIATRIC DENTISTRY LLC (NPI 1790068500) is a healthcare organization registered as a pediatric dentistry in Enfield, Connecticut and active in the NPI registry since September 2011. The organization lists Toni L Russo, Owner, as its authorized official.

NPPES Registry Identity

NPI1790068500
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameENFIELD PEDIATRIC DENTISTRY LLC
Location Address233 HAZARD AVENUEEnfield, CT 06082
Mailing Address233 Hazard AvenueEnfield, CT 06082 · (860) 749-6622
Phone(860) 749-6622
Organization SubpartNo
Authorized OfficialToni L RussoOwner · (860) 749-6622
Enumeration DateSeptember 28, 2011
✔ NPI 1790068500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CT · 010105
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.
233 HAZARD AVENUE, Enfield, CT 06082
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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

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 Enfield Pediatric Dentistry LLC's NPI number?

The NPI number for Enfield Pediatric Dentistry LLC is 1790068500. It was assigned to this organization in the NPPES registry on September 28, 2011.

Where is Enfield Pediatric Dentistry LLC located?

Enfield Pediatric Dentistry LLC is located at 233 Hazard Avenue, Enfield, CT 06082. The listed phone number is (860) 749-6622.

What is Enfield Pediatric Dentistry 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 Enfield Pediatric Dentistry LLC was last updated on September 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.