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CONNECTICUT FAMILY DENTISTRY LLC NPI 1770814956


NPI Information

NPI: 1770814956
Provider Name: CONNECTICUT FAMILY DENTISTRY, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
945 MAIN ST
SUITE 101
MANCHESTER, CT
ZIP 06040
Phone: (860) 646-1704
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CONNECTICUT FAMILY DENTISTRY, LLC is a general practice dentist in Manchester, 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. CONNECTICUT FAMILY DENTISTRY, LLC NPI is 1770814956. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

945 MAIN ST
SUITE 101
MANCHESTER, CT
ZIP 06040-064
Phone: (860) 646-1704

The provider's authorized official is Kim L Warner .
The authorized official title is Office Manager and has the following contact phone number (860) 646-1704.

The enumeration date for this NPI number is 1/27/2010 and was last updated on 1/27/2010.


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 Practice4590CONNECTICUTYes

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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