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Sph3enterprise, Llc
Pediatric Dentist in Manchester, Connecticut
NPI 1053727479

Sph3enterprise, Llc is a Pediatric Dentist based in Manchester, CT and is specialized in Pediatric Dentistry. Sph3enterprise, Llc practices in Manchester, CT. The NPI Number for Sph3enterprise, Llc is 1053727479 and holds a License No. 010954 (Connecticut).

The current practice location address for Sph3enterprise, Llc is 194 Buckland Hills Drive, Manchester, CT and can be reached out via phone at 860-644-0099 and via fax at 860-644-0109.

Location: 194 Buckland Hills Drive, Manchester, CT, 06042-8705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053727479
Provider Name
Sph3enterprise, Llc
Credential
Provider Entity Type
Organization
Address
194 Buckland Hills Drive, Manchester, CT, 06042-8705
Phone Number
860-644-0099
Fax Number
860-644-0109
Provider Enumeration Date
07/07/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1467611632 05 CT
1972893352 05 CT
institution
Provider Business Practice Location Address Details
Address
194 Buckland Hills Drive
City
Manchester
State
Connecticut
Zip
06042
Phone Number
860-644-0099
Fax Number
860-644-0109
person
Provider Business Mailing Address Details
Address
194 Buckland Hills Drive
City
Manchester
State
Connecticut
Zip
06042
Phone Number
860-644-0099
Fax Number
860-644-0109
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
010954 (Connecticut)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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