STAR DENTAL LLC NPI 1336471614

NPI Information

NPI: 1336471614
Provider Name: STAR DENTAL LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
300 HEMINGWAY AVE
EAST HAVEN, CT
ZIP 06512
Phone: (203) 469-5644
Get Directions

STAR DENTAL LLC is a general practice dentist in East Haven, 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. STAR DENTAL LLC NPI is 1336471614. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

300 HEMINGWAY AVE
EAST HAVEN, CT
ZIP 06512-000
Phone: (203) 469-5644
Fax: (203) 469-1067

The provider's authorized official is Tarvinder Pal Singh Arora .
The authorized official title is Owner and has the following contact phone number (203) 469-5644.

The enumeration date for this NPI number is 2/11/2010 and was last updated on 11/13/2012.

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	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics			No
2	1223G0001X	Dentist	General Practice			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	008002020	MEDICAID	CONNECTICUT

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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