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HOSPITAL DENTAL GROUP DDS PC NPI 1417389636


NPI Information

NPI: 1417389636
Provider Name: HOSPITAL DENTAL GROUP DDS PC
Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Organization
Address:
85 SEYMOUR ST
SUITE 922
HARTFORD, CT
ZIP 06106
Phone: (860) 524-5194
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HOSPITAL DENTAL GROUP DDS PC is a residential treatment facility physical disabilities in Hartford, CT. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. HOSPITAL DENTAL GROUP DDS PC NPI is 1417389636. The provider is registered as an organization entity type.

The provider's business location address is:

85 SEYMOUR ST
SUITE 922
HARTFORD, CT
ZIP 06106-501
Phone: (860) 524-5194
Fax: (860) 349-4571

The provider's authorized official is Anatoliy Ravin .
The authorized official title is Owner and has the following contact phone number (860) 524-5194.

The enumeration date for this NPI number is 7/31/2013 and was last updated on 7/31/2013.


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
1320700000XResidential Treatment Facility, Physical Disabilities008890CONNECTICUTYes

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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