CT DENTAL LLC NPI 1881987964

NPI Information

  • NPI: 1881987964
  • Provider Name: CT DENTAL LLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: CONNECTICUT FAMILY DENTAL
  • Address: 171 GRANDVIEW AVE
    SUITE 103
    WATERBURY, CT
    ZIP 06708
  • Phone: (203) 574-2725

Map and Directions

Get Directions

NPI Details

CT DENTAL LLC 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. CT DENTAL LLC NPI is 1881987964. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Connecticut Family Dental.

The provider's business location address is:

171 GRANDVIEW AVE
SUITE 103
WATERBURY, CT
ZIP 06708-517
Phone: (203) 574-2725
Fax: (203) 574-2726

The provider's authorized official is Tulasi N Vikram .
The authorized official title is Owner and has the following contact phone number (203) 574-2725.

The enumeration date for this NPI number is 5/23/2011 and was last updated on 1/7/2015.

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
11223E0200XDentistEndodonticsNo
21223S0112XDentistOral and Maxillofacial SurgeryCONNECTICUTNo
31223G0001XDentistGeneral Practice010282CONNECTICUTYes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI