Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Pediatric Dental Associates of Southbury LLC

Organization Pediatric Dentistry · NPI 1629225875

Pediatric Dental Associates of Southbury LLC provides Pediatric Dentistry in Southbury, Connecticut. Licensed in Connecticut. Registered with an NPI since 2008.

Licensed in
CT
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 Pomperaug Ofc Park Ste 206
Southbury, CT 06488-2295 Not confirmed with CMS for 18 years — call before visiting
Phone: (203) 264-1497
Fax: (203) 264-4039
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 007834 (CT)

Record details

NPI number1629225875
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marguerite Gillette — Office Manager · (203) 264-1497
NPI enumeratedAugust 19, 2008
Last updated in NPPESAugust 19, 2008
Mailing address1 Pomperaug Office Park, Suite 206, Southbury, CT 06488-2295

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