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NEW LONDON FAMILY DENTAL LLC NPI 1154890549


NPI Information

NPI: 1154890549
Provider Name: NEW LONDON FAMILY DENTAL LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
105 NORTH RIDGE DR
NEW LONDON, WI
ZIP 54961
Phone: (920) 982-3567
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NEW LONDON FAMILY DENTAL LLC is a dental clinic center in New London, WI. NEW LONDON FAMILY DENTAL LLC NPI is 1154890549. The provider is registered as an organization entity type.

The provider's business location address is:

105 NORTH RIDGE DR
NEW LONDON, WI
ZIP 54961-496
Phone: (920) 982-3567

The provider's authorized official is Kayla Thorpe .
The authorized official title is Office Manager and has the following contact phone number (920) 982-3567.

The enumeration date for this NPI number is 11/15/2018 and was last updated on 6/12/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

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: 5/5/2024
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