Provider Demographics
NPI:1568652998
Name:DENTISTRY FOR CHILDREN, LLC
Entity Type:Organization
Organization Name:DENTISTRY FOR CHILDREN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-838-4191
Mailing Address - Street 1:149 EAST AVE STE 21
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-5711
Mailing Address - Country:US
Mailing Address - Phone:202-838-4191
Mailing Address - Fax:203-838-0670
Practice Address - Street 1:149 EAST AVE STE 21
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-5711
Practice Address - Country:US
Practice Address - Phone:202-838-4191
Practice Address - Fax:203-838-0670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty