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SMALL SMILES DENTAL CENTER OF HARTFORD WEST PC NPI 1720386972


NPI Information

NPI: 1720386972
Provider Name: SMALL SMILES DENTAL CENTER OF HARTFORD WEST, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
550 FARMINGTON AVE
HARTFORD, CT
ZIP 06105
Phone: (860) 236-0110
Get Directions

SMALL SMILES DENTAL CENTER OF HARTFORD WEST, PC is a general practice dentist in 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. SMALL SMILES DENTAL CENTER OF HARTFORD WEST, PC NPI is 1720386972. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

550 FARMINGTON AVE
HARTFORD, CT
ZIP 06105-049
Phone: (860) 236-0110
Fax: (860) 236-0112

The provider's authorized official is Jenell Stringer .
The authorized official title is Specialist and has the following contact phone number (615) 750-0343.

The enumeration date for this NPI number is 3/10/2011 and was last updated on 6/26/2013.


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
11223S0112XDentistOral and Maxillofacial SurgeryNo
21223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
31223P0221XDentistPediatric DentistryNo
41223E0200XDentistEndodonticsNo
51223G0001XDentistGeneral PracticeYes

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
1008031014MEDICAIDCONNECTICUT

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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