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DENTAL VISIONPC NPI 1205563822


NPI Information

NPI: 1205563822
Provider Name: DENTAL VISION,PC

Doing Business As: FAMILY DENTISTRY OF DERBY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
115 NEW HAVEN AVE
DERBY, CT
ZIP 06418
Phone: (203) 751-9667
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DENTAL VISION,PC is a general practice dentist in Derby, 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. DENTAL VISION,PC NPI is 1205563822. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Family Dentistry Of Derby.

The provider's business location address is:

115 NEW HAVEN AVE
DERBY, CT
ZIP 06418-154
Phone: (203) 751-9667

The provider's authorized official is Tetyana Pohorletska .
The authorized official title is Manager and has the following contact phone number (347) 323-1715.

The enumeration date for this NPI number is 8/3/2022 and was last updated on 9/13/2022.


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
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: 5/5/2024

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