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General NPI Number Information
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NPI Number | 1598646770
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Entity Type | Organization
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Legal Business Name | DENTAL SEDATION CENTER OF CONNECTICUT, LLC
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 501 KINGS HWY E
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City | FAIRFIELD
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State | CT
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Zip | 06825-4867
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Country | US
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Telephone | 860-561-1233
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Fax | 203-306-3019
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Provider Business Mailing Address
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Address Line | 501 KINGS HWY E
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City | FAIRFIELD
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State | CT
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Zip | 06825-4867
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Country | US
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Telephone | 860-561-1233
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Fax | 203-306-3019
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Authorized Official
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Title or Position | OWNER
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Name | SETH R PODOLSKY
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Credential | MD
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Telephone | 860-561-1233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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