Active NPIOrganization

Dr. Dental Of Manchester, PC

Dentist in Manchester, Connecticut

NPI Number1083006431
Practice location
240 Spencer St, Manchester, CT 06040-4618
Fax
—
Last updated
February 23, 2015

Dr. Dental Of Manchester, PC is a healthcare organization based in Manchester, CT. Dr. Dental Of Manchester, PC practices in Manchester, CT. The NPI Number for Dr. Dental Of Manchester, PC is 1083006431 and holds a License No. 10025 (CT). The current practice location address for Dr. Dental Of Manchester, PC is 240 Spencer St, Manchester, CT 06040-4618 and can be reached out via phone at 617-823-2111.

Provider Profile Details

NPI Number
1083006431
Provider Name
Dr. Dental Of Manchester, PC
Provider Entity Type
Organization
Address
240 Spencer St, Manchester, CT 06040-4618
Phone Number
617-823-2111
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Mr. Alex Faigel · Managing Director · 617-823-2111
Provider Enumeration Date
February 23, 2015
Last Update Date
February 23, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
240 Spencer St
Manchester, CT 06040-4618
Zip
06040-4618
Phone Number
617-823-2111
Manchester, CT 06040Get directions →

Provider Business Mailing Address Details

Address
55 Meridian St
East Boston, MA 02128-1959
City
East Boston
State
MA
Zip
02128-1959
Phone Number
617-823-2111

License Information

License Number
10025
License State
CT
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Dental Of Manchester, PC?

The NPI number of Dr. Dental Of Manchester, PC is 1083006431. It was assigned on February 23, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Dental Of Manchester, PC?

Dr. Dental Of Manchester, PC is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 10025.

Where does Dr. Dental Of Manchester, PC practice?

The practice location is 240 Spencer St, Manchester, CT 06040-4618. The office can be reached at 617-823-2111 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083006431 directly on the NPPES registry website.

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