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SMILE AND SHINE WATERBURY NPI 1225624596


NPI Information

NPI: 1225624596
Provider Name: SMILE AND SHINE WATERBURY
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
158 MANOR AVE UNIT 1
WATERBURY, CT
ZIP 06705
Phone: (203) 527-3375
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SMILE AND SHINE WATERBURY is a general practice dentist in Waterbury, 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. SMILE AND SHINE WATERBURY NPI is 1225624596. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

158 MANOR AVE UNIT 1
WATERBURY, CT
ZIP 06705-206
Phone: (203) 527-3375

The provider's authorized official is Michelle Nunez .
The authorized official title is Office Manager and has the following contact phone number (203) 527-3375.

The enumeration date for this NPI number is 12/21/2020 and was last updated on 12/21/2020.


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 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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