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NEW AGE DENTAL LLC NPI 1558745539


NPI Information

NPI: 1558745539
Provider Name: NEW AGE DENTAL LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
10 N MAIN ST
SUITE 220
WEST HARTFORD, CT
ZIP 06107
Phone: (860) 561-2121
Get Directions

NEW AGE DENTAL LLC is a general practice dentist in West 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. NEW AGE DENTAL LLC NPI is 1558745539. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10 N MAIN ST
SUITE 220
WEST HARTFORD, CT
ZIP 06107-968
Phone: (860) 561-2121
Fax: (860) 561-4327

The provider's authorized official is Elzbieta W Basil .
The authorized official title is Owner and has the following contact phone number (860) 561-2121.

The enumeration date for this NPI number is 7/19/2015 and was last updated on 7/19/2015.


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 Practice008510CONNECTICUTYes

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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