IKON DENTAL GROUP LLC NPI 1063922581

NPI Information

NPI: 1063922581
Provider Name: IKON DENTAL GROUP LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
58 W MAIN ST STE 1
PLAINVILLE, CT
ZIP 06062
Phone: (860) 400-0196
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IKON DENTAL GROUP LLC is a dental clinic center in Plainville, CT. IKON DENTAL GROUP LLC NPI is 1063922581. The provider is registered as an organization entity type.

The provider's business location address is:

58 W MAIN ST STE 1
PLAINVILLE, CT
ZIP 06062-993
Phone: (860) 400-0196
Fax: (860) 400-0198

The provider's authorized official is Izaz Khan .
The authorized official title is Owner/sole Member and has the following contact phone number (860) 770-1780.

The enumeration date for this NPI number is 10/10/2017 and was last updated on 10/10/2017.

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	261QD0000X	Clinic/Center	Dental		CONNECTICUT	Yes

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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