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DENTAL SERVICES OF SOUTH WINDSOR LLC NPI 1750302980


NPI Information

NPI: 1750302980
Provider Name: DENTAL SERVICES OF SOUTH WINDSOR, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
479 BUCKLAND ROAD
SOUTH WINDSOR, CT
ZIP 06074
Phone: (860) 648-4471
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DENTAL SERVICES OF SOUTH WINDSOR, LLC is a general practice dentist in South Windsor, 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. DENTAL SERVICES OF SOUTH WINDSOR, LLC NPI is 1750302980. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

479 BUCKLAND ROAD
SOUTH WINDSOR, CT
ZIP 06074-515
Phone: (860) 648-4471
Fax: (860) 648-0181

The provider's authorized official is Gregory Bruce Haroian .
The authorized official title is Owner/member Dentist and has the following contact phone number (860) 289-4955.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 8/18/2008.


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 Practice9300CONNECTICUTNo
21223G0001XDentistGeneral Practice6350CONNECTICUTYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.