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KATZ FAMILY DENTAL LLC NPI 1013282698


NPI Information

NPI: 1013282698
Provider Name: KATZ FAMILY DENTAL LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
125 LASALLE RD
SUITE 306
WEST HARTFORD, CT
ZIP 06107
Phone: (860) 521-0594
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KATZ FAMILY DENTAL LLC is a general practice dentist in West Hartford, CT. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. KATZ FAMILY DENTAL LLC NPI is 1013282698. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

125 LASALLE RD
SUITE 306
WEST HARTFORD, CT
ZIP 06107-322
Phone: (860) 521-0594
Fax: (860) 521-7568

The provider's authorized official is Peter S Katz .
The authorized official title is Owner and has the following contact phone number (860) 521-0594.

The enumeration date for this NPI number is 3/15/2012 and was last updated on 3/15/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice005151CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
120515144093MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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