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SPECTRA DENTAL LLC NPI 1437685674


NPI Information

NPI: 1437685674
Provider Name: SPECTRA DENTAL LLC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
160 ROBBINS ST
WATERBURY, CT
ZIP 06708
Phone: (203) 757-8855
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SPECTRA DENTAL LLC is an oral and maxillofacial surgery dentist in Waterbury, CT. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. SPECTRA DENTAL LLC NPI is 1437685674. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

160 ROBBINS ST
WATERBURY, CT
ZIP 06708-652
Phone: (203) 757-8855

The provider's authorized official is Christine Lathuras .
The authorized official title is Owner and has the following contact phone number (203) 757-8855.

The enumeration date for this NPI number is 5/9/2017 and was last updated on 5/9/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery008123CONNECTICUTYes

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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