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THE SMILE STUDIO AT BUSHNELL PARK NPI 1295374296


NPI Information

NPI: 1295374296
Provider Name: THE SMILE STUDIO AT BUSHNELL PARK
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1 GOLD ST STE Q
HARTFORD, CT
ZIP 06103
Phone: (860) 728-5264
Get Directions

THE SMILE STUDIO AT BUSHNELL PARK 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. THE SMILE STUDIO AT BUSHNELL PARK NPI is 1295374296. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 GOLD ST STE Q
HARTFORD, CT
ZIP 06103-914
Phone: (860) 728-5264

The provider's authorized official is Bryan Wilson .
The authorized official title is Owner and has the following contact phone number (860) 728-5264.

The enumeration date for this NPI number is 12/23/2019 and was last updated on 12/23/2019.


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

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
11093881534OTHERCONNECTICUTNPI

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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