YALE-NEW HAVEN HOSPITAL NPI 1790170033

NPI Information

NPI: 1790170033
Provider Name: YALE-NEW HAVEN HOSPITAL
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
1 LONG WHARF DR
SUITE 403
NEW HAVEN, CT
ZIP 06511
Phone: (203) 688-3000
Get Directions

YALE-NEW HAVEN HOSPITAL is a pediatric dentistry dentist in New Haven, 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. YALE-NEW HAVEN HOSPITAL NPI is 1790170033. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 LONG WHARF DR
SUITE 403
NEW HAVEN, CT
ZIP 06511-991
Phone: (203) 688-3000
Fax: (203) 688-3050

The provider's authorized official is Richard D'aquilla .
The authorized official title is President and has the following contact phone number (203) 688-2606.

The enumeration date for this NPI number is 4/3/2015 and was last updated on 4/18/2016.

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	1223D0004X	Dentist	Dentist Anesthesiologist	044	CONNECTICUT	No
2	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	044	CONNECTICUT	No
3	124Q00000X	Dental Hygienist		044	CONNECTICUT	No
4	1223P0221X	Dentist	Pediatric Dentistry	044	CONNECTICUT	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	008058656	MEDICAID	CONNECTICUT

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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