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SPH2 ENTERPRISE LLC NPI 1245569748


NPI Information

NPI: 1245569748
Provider Name: SPH2 ENTERPRISE, LLC

Doing Business As: CARE DENTAL CENTER

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
191 FRANKLIN AVE
HARTFORD, CT
ZIP 06114
Phone: (860) 296-7460
Get Directions

SPH2 ENTERPRISE, LLC is a general practice dentist in 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. SPH2 ENTERPRISE, LLC NPI is 1245569748. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Care Dental Center.

The provider's business location address is:

191 FRANKLIN AVE
HARTFORD, CT
ZIP 06114
Phone: (860) 296-7460
Fax: (860) 296-7459

The provider's authorized official is Diane Devries .
The authorized official title is Business Manager and has the following contact phone number (860) 342-4141.

The enumeration date for this NPI number is 12/11/2009 and was last updated on 6/17/2014.


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 PracticeCT009846CONNECTICUTNo
21223G0001XDentistGeneral PracticeCT009785CONNECTICUTNo
31223G0001XDentistGeneral PracticeCT009920CONNECTICUTNo
41223P0106XDentistOral and Maxillofacial PathologyCONNECTICUTNo
51223P0221XDentistPediatric DentistryCONNECTICUTNo
61223S0112XDentistOral and Maxillofacial SurgeryNo
71223G0001XDentistGeneral Practice9846CONNECTICUTYes

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
1008002146MEDICAIDCONNECTICUT
2008002144MEDICAIDCONNECTICUT
3008002145MEDICAIDCONNECTICUT

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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