SMILE BY DESIGN WINDSOR LLC NPI 1548502750

NPI Information

NPI: 1548502750
Provider Name: SMILE BY DESIGN WINDSOR LLC

Former Legal Business Name: KIDS DENTAL CARE WINDSOR LLC

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
697 POQUONOCK AVENUE
WINDSOR, CT
ZIP 06010
Phone: (860) 219-0932
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SMILE BY DESIGN WINDSOR LLC is a pediatric dentistry dentist in Windsor, CT. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. SMILE BY DESIGN WINDSOR LLC NPI is 1548502750. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Kids Dental Care Windsor Llc.

The provider's business location address is:

697 POQUONOCK AVENUE
WINDSOR, CT
ZIP 06010-259
Phone: (860) 219-0932
Fax: (860) 219-1482

The provider's authorized official is Saleh Akbar .
The authorized official title is Operations Manager and has the following contact phone number (860) 219-0932.

The enumeration date for this NPI number is 3/26/2013 and was last updated on 7/21/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist			CONNECTICUT	No
2	1223D0004X	Dentist	Dentist Anesthesiologist	006903	CONNECTICUT	No
3	1223D0004X	Dentist	Dentist Anesthesiologist		CONNECTICUT	No
4	1223G0001X	Dentist	General Practice		CONNECTICUT	No
5	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	11249	CONNECTICUT	No
6	1223P0221X	Dentist	Pediatric Dentistry	P07893	CONNECTICUT	Yes

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

NPI Synchronization or Removal

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