OrganizationActive
Pediatric Dental Associates of Southbury LLC
NPI 1629225875 · Pediatric Dentistry · Southbury, CT
Pediatric Dental Associates of Southbury LLC is a Pediatric Dentistry organization in Southbury, CT (NPI 1629225875).
Provider details
- NPI number
- 1629225875
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Marguerite Gillette, Office Manager(203) 264-1497
- License
- 007834 (CT)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1 Pomperaug Office Park
Suite 206
Southbury, CT 06488-2295
Phone: (203) 264-1497
Fax: (203) 264-4039
Approximate (ZIP-level) locationGet directions
Mailing address
1 Pomperaug Office Park
Southbury, CT 06488-2295
Registry dates
- Enumerated
- 2008-08-19
- Last updated
- 2008-08-19
Frequently asked questions
- What is Pediatric Dental Associates of Southbury LLC's NPI number?
- Pediatric Dental Associates of Southbury LLC's National Provider Identifier (NPI) is 1629225875, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Dental Associates of Southbury LLC?
- Pediatric Dental Associates of Southbury LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Pediatric Dental Associates of Southbury LLC located?
- Pediatric Dental Associates of Southbury LLC's practice location on file with NPPES is 1 Pomperaug Office Park, Southbury, CT 06488-2295.
- What is Pediatric Dental Associates of Southbury LLC's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Dental Associates of Southbury LLC is (203) 264-1497.
- Who is the authorized official for Pediatric Dental Associates of Southbury LLC?
- The authorized official listed on Pediatric Dental Associates of Southbury LLC's NPPES record is Marguerite Gillette, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Dental Associates of Southbury LLC's NPI active?
- Yes — Pediatric Dental Associates of Southbury LLC's NPI (1629225875) is active in the NPPES registry as of the last update on 2008-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.