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UCONN HEALTH CENTER NPI 1770572588


NPI Information

NPI: 1770572588
Provider Name: UCONN HEALTH CENTER

Other Name: SCHOOL OF DENTAL MEDICINE

Classification: Dentist - 1223X0008X
Entity Type: Organization

Specialization: Oral and Maxillofacial Radiology

Address:
263 FARMINGTON AVE
ORAL AND MAXILLOFACIAL RADIOLOGY MC 2110
FARMINGTON, CT
ZIP 06030
Phone: (860) 679-2453
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UCONN HEALTH CENTER is an oral and maxillofacial radiology dentist in Farmington, CT. The provider is the specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region. UCONN HEALTH CENTER NPI is 1770572588. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is School Of Dental Medicine.

The provider's business location address is:

263 FARMINGTON AVE
ORAL AND MAXILLOFACIAL RADIOLOGY MC 2110
FARMINGTON, CT
ZIP 06030-001
Phone: (860) 679-2453
Fax: (860) 679-2756

The provider's authorized official is Alan G. Lurie .
The authorized official title is Professor and has the following contact phone number (860) 679-2453.

The enumeration date for this NPI number is 10/14/2005 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
11223X0008XDentistOral and Maxillofacial Radiology004751CONNECTICUTYes

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
12047513MEDICAIDCONNECTICUT

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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