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MERIDEN ADULT AND CHILDREN'S PC NPI 1376953356


NPI Information

NPI: 1376953356
Provider Name: MERIDEN ADULT AND CHILDREN'S PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
415 BROAD ST
MERIDEN, CT
ZIP 06450
Phone: (203) 690-9687
Get Directions

MERIDEN ADULT AND CHILDREN'S PC is a general practice dentist in Meriden, 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. MERIDEN ADULT AND CHILDREN'S PC NPI is 1376953356. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

415 BROAD ST
MERIDEN, CT
ZIP 06450-999
Phone: (203) 690-9687

The provider's authorized official is Elba Rivera .
The authorized official title is Administrative Asst and has the following contact phone number (203) 690-9687.

The enumeration date for this NPI number is 4/30/2014 and was last updated on 4/30/2014.


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 Practice1720372840CONNECTICUTYes

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
11720372840MEDICAIDCONNECTICUT

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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