Organization Name: | CHILDREN'S DENTAL ASSOCIATES OF HAMDEN |
NPI Number: | 1013909654 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DOUGLAS JAMES MULLER (PRESIDENT) |
Mailing Address: | 2080 Whitney Ave Suite 270 Hamden |
State: | CT US |
Postal Code: | 065183600 |
Phone Number: | 2032815825 |
Fax Number: | 2032816731 |
NPI Enumeration Date: | 08/19/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 7502 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy 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. |