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AMAZING SMILE FAMILY DENTISTERY NPI 1154757185


NPI Information

NPI: 1154757185
Provider Name: AMAZING SMILE FAMILY DENTISTERY
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
580 BURNSIDE AVE
SUITE# 6
EAST HARTFORD, CT
ZIP 06108
Phone: (860) 282-9000
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AMAZING SMILE FAMILY DENTISTERY is a general practice dentist in East Hartford, 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. AMAZING SMILE FAMILY DENTISTERY NPI is 1154757185. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

580 BURNSIDE AVE
SUITE# 6
EAST HARTFORD, CT
ZIP 06108-567
Phone: (860) 282-9000
Fax: (860) 282-9005

The provider's authorized official is Naeem A Mian .
The authorized official title is Ceo and has the following contact phone number (203) 282-9000.

The enumeration date for this NPI number is 9/23/2013 and was last updated on 9/23/2013.


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 Practice009138CONNECTICUTYes

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: 11/14/2023

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