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FARMINGTON FAMILY DENTISTRY LLC NPI 1245682830


NPI Information

NPI: 1245682830
Provider Name: FARMINGTON FAMILY DENTISTRY, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 07D1007514

Address:
5 MELROSE DR
FARMINGTON, CT
ZIP 06032
Phone: (860) 677-1316
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FARMINGTON FAMILY DENTISTRY, LLC is a general practice dentist in Farmington, 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. FARMINGTON FAMILY DENTISTRY, LLC NPI is 1245682830. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5 MELROSE DR
FARMINGTON, CT
ZIP 06032-251
Phone: (860) 677-1316
Fax: (860) 677-4537

The provider's authorized official is Kathryn Wilhelms .
The authorized official title is Owner and has the following contact phone number (860) 677-1316.

The CLIA number assigned to this NPI record is 07D1007514 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2016 and was last updated on 7/7/2016.


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 Practice007405CONNECTICUTYes

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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