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EAST HADDAM DENTAL ASSOCIATES PC NPI 1528162633


NPI Information

NPI: 1528162633
Provider Name: EAST HADDAM DENTAL ASSOCIATES PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
32 WILLIAM F PALMER ROAD
MOODUS, CT
ZIP 06469
Phone: (860) 873-1404
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EAST HADDAM DENTAL ASSOCIATES PC is a general practice dentist in Moodus, 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. EAST HADDAM DENTAL ASSOCIATES PC NPI is 1528162633. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

32 WILLIAM F PALMER ROAD
MOODUS, CT
ZIP 06469
Phone: (860) 873-1404
Fax: (860) 873-1405

The provider's authorized official is Karl Peter Stofko .
The authorized official title is Secretary and has the following contact phone number (860) 873-1404.

The enumeration date for this NPI number is 9/11/2006 and was last updated on 8/22/2020.


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

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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