Provider Demographics
NPI:1184877201
Name:ALL ABOUT KIDS PEDIATRIC DENTISTRY
Entity type:Organization
Organization Name:ALL ABOUT KIDS PEDIATRIC DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HELENE
Authorized Official - Middle Name:
Authorized Official - Last Name:STRAZZA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:203-323-5439
Mailing Address - Street 1:127 GREYROCK PL
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06901-3100
Mailing Address - Country:US
Mailing Address - Phone:203-323-5439
Mailing Address - Fax:203-614-8555
Practice Address - Street 1:127 GREYROCK PL
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06901-3100
Practice Address - Country:US
Practice Address - Phone:203-323-5439
Practice Address - Fax:203-614-8555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-03
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1223X0400X, 1223G0001X, 1223P0221X
CT0070661223D0004X
CT009722122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223D0004XDental ProvidersDentistDental AnesthesiologyGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty