ELITE FAMILY DENTISTRY NPI 1457739765

NPI Information

  • NPI: 1457739765
  • Provider Name: ELITE FAMILY DENTISTRY
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: GREEN MEADOW DENTAL
  • Address: 3579B BERLIN TPKE
    NEWINGTON, CT
    ZIP 06111
  • Phone: (860) 266-4766

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NPI Details

ELITE FAMILY DENTISTRY is a general practice dentist in Newington, 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. ELITE FAMILY DENTISTRY NPI is 1457739765. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Green Meadow Dental.

The provider's business location address is:

3579B BERLIN TPKE
NEWINGTON, CT
ZIP 06111-136
Phone: (860) 266-4766

The provider's authorized official is Ranjitha Mukund .
The authorized official title is Owner and has the following contact phone number (347) 205-4040.

The enumeration date for this NPI number is 5/7/2015 and was last updated on 9/3/2015.

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
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: 11/21/2025

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