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ORANGE CENTER DENTISTRY PC NPI 1053795070


NPI Information

NPI: 1053795070
Provider Name: ORANGE CENTER DENTISTRY PC

Doing Business As: GRASSY HILL DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
676 NEW HAVEN AVE
SUITE A-3
DERBY, CT
ZIP 06418
Phone: (475) 777-5108
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ORANGE CENTER DENTISTRY PC is a general practice dentist in Derby, 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. ORANGE CENTER DENTISTRY PC NPI is 1053795070. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Grassy Hill Dentistry.

The provider's business location address is:

676 NEW HAVEN AVE
SUITE A-3
DERBY, CT
ZIP 06418-500
Phone: (475) 777-5108
Fax: (475) 777-5118

The provider's authorized official is Christopher C. Cogguillo .
The authorized official title is President and has the following contact phone number (475) 777-5108.

The enumeration date for this NPI number is 7/20/2015 and was last updated on 7/20/2015.


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 PracticeYes

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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