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THE DENTIST LLC NPI 1043428683


NPI Information

NPI: 1043428683
Provider Name: THE DENTIST LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2434 BERLIN TPKE
NEWINGTON, CT
ZIP 06111
Phone: (860) 667-8186
Get Directions

THE DENTIST LLC is a general practice dentist in Newington, 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. THE DENTIST LLC NPI is 1043428683. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2434 BERLIN TPKE
NEWINGTON, CT
ZIP 06111-121
Phone: (860) 667-8186
Fax: (860) 667-8179

The provider's authorized official is Pam Kennedy .
The authorized official title is Office Manager and has the following contact phone number (860) 667-8186.

The enumeration date for this NPI number is 5/18/2007 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
11223G0001XDentistGeneral Practice020004762CT01CONNECTICUTYes

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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