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FAMILY DENTAL PRACTICE OF BLOOMFIELD NPI 1114048519


NPI Information

NPI: 1114048519
Provider Name: FAMILY DENTAL PRACTICE OF BLOOMFIELD
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3 NORTHWESTERN DR
BLOOMFIELD, CT
ZIP 06002
Phone: (860) 242-5594
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FAMILY DENTAL PRACTICE OF BLOOMFIELD is a general practice dentist in Bloomfield, 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. FAMILY DENTAL PRACTICE OF BLOOMFIELD NPI is 1114048519. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3 NORTHWESTERN DR
BLOOMFIELD, CT
ZIP 06002-465
Phone: (860) 242-5594

The provider's authorized official is Heidi B Tiedmann .
The authorized official title is Dental Administrator and has the following contact phone number (860) 242-5594.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 8/22/2020.


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 PracticeYes

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: 4/28/2024

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