PEDIATRIC DENTISTRY ASSOCIATES, LLC
NPI 1982759791
Dentist - Pediatric Dentistry in Madison, CT

Q: What is Pediatric Dentistry Associates, LLC's NPI number?

The NPI number for Pediatric Dentistry Associates, LLC is 1982759791. It was assigned to this organization in the NPPES registry on January 24, 2007.

Q: 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.

Active since January 24, 2007

149 DURHAM RD STE 33, MADISON, CT 06443(203) 245-1454(203) 245-8998 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Pediatric Dentistry Associates, Llc NPPES

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

PEDIATRIC DENTISTRY ASSOCIATES, LLC (NPI 1982759791) is a healthcare organization registered as a pediatric dentistry in Madison, Connecticut and active in the NPI registry since January 2007. The organization lists Douglas B. Keck, Owner, as its authorized official.

NPPES Registry Identity

NPI1982759791

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NamePEDIATRIC DENTISTRY ASSOCIATES, LLC

Location Address149 DURHAM RD STE 33Madison, CT 06443-2680

Mailing Address149 Durham Rd Ste 33Madison, CT 06443-2680 · (203) 245-1454 · Fax (203) 245-8998

Phone(203) 245-1454

Fax(203) 245-8998

Organization SubpartNo

Authorized OfficialDouglas B. KeckOwner · (203) 787-3669

Enumeration DateJanuary 24, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1982759791 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 · 9409✔ Licensed in CT · 5525✔ Licensed in CT · 7814

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.

149 DURHAM RD STE 33, Madison, CT 06443

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Other Identifiers 3

Other1184624058CT · Individual Npi

Other1710988704CT · Individual Npi

Other1760569685CT · 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

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 1982759791. It was assigned to this organization in the NPPES registry on January 24, 2007.

Where is Pediatric Dentistry Associates, LLC located?

Pediatric Dentistry Associates, LLC is located at 149 Durham Rd Ste 33, Madison, CT 06443. The listed phone number is (203) 245-1454.

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 August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.