Pediatric Dental Sedation Specialist of Connecticut LLC

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

License

010495 Issued in CT

Legal business name

PEDIATRIC DENTAL SEDATION SPECIALIST OF CONNECTICUT LLC

Practice address

120 East Ave
Norwalk, CT 06851-5703

Phone

(203) 817-2534

NPI assigned

Mar 10, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jessica Lynn Levy, DDS

Title

Member

Phone

(917) 841-7780

Specialties & licenses 3

Addresses

Other names 1

• Pediatric Dental Sedation Specialists of Connecticut Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1053704445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17A SINTSINK DR W",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110502015",
            "telephone_number": "248-217-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 EAST AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515703",
            "telephone_number": "203-817-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL SEDATION SPECIALIST OF CONNECTICUT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "917-841-7780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "CT",
            "license": "010495",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CT",
            "license": "005945",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "010473",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Dental Sedation Specialists of Connecticut",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristine F Paz
• Lorna Peachin
• Pearl Dental of Norwalk PLLC
• Erika Jayne Pearl, PA-C
• Kimberly Ann Pearson, APRN
• Hanny Pena
• Sujata Pendyala, D.O.
• Tulasi Perali
• Seadon Patrick Pereira, M.D.
• David Peretz, MD

• Dental Anesthesiology in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Dental Anesthesiology in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.