Candlewood Family Dental LLC
Clinic/Center, Dental in Brookfield, Connecticut
1093153918- Practice location
- 940 Federal RD, Brookfield, CT 06804-1150
- Phone
- 203-775-5533
- Fax
- 203-775-5511
- Last updated
- June 13, 2013
Candlewood Family Dental LLC is a healthcare organization based in Brookfield, CT. Candlewood Family Dental LLC practices in Brookfield, CT. The NPI Number for Candlewood Family Dental LLC is 1093153918 and holds a License No. 009332 (CT). The current practice location address for Candlewood Family Dental LLC is 940 Federal RD, Brookfield, CT 06804-1150 and can be reached out via phone at 203-775-5533 and via fax at 203-775-5511.
Provider Profile Details
- NPI Number
- 1093153918
- Provider Name
- Candlewood Family Dental LLC
- Provider Entity Type
- Organization
- Address
- 940 Federal RD, Brookfield, CT 06804-1150
- Phone Number
- 203-775-5533
- Fax Number
- 203-775-5511
- Primary Taxonomy
- Clinic/Center, Dental · 261QD0000X
- Organization Subpart
- No
- Authorized Official
- Christine R Waldron, DDS · Member · 203-775-5533
- Provider Enumeration Date
- June 13, 2013
- Last Update Date
- June 13, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 940 Federal RD
Brookfield, CT 06804-1150 - City
- Brookfield
- State
- Connecticut
- Zip
- 06804-1150
- Phone Number
- 203-775-5533
- Fax Number
- 203-775-5511
Provider Business Mailing Address Details
- Address
- 940 Federal RD
Brookfield, CT 06804-1150 - City
- Brookfield
- State
- CT
- Zip
- 06804-1150
- Phone Number
- 203-775-5533
- Fax Number
- 203-775-5511
License Information
- License Number
- 009332
- License State
- CT
- Taxonomy
- Clinic/Center, Dental · 261QD0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Candlewood Family Dental LLC?
The NPI number of Candlewood Family Dental LLC is 1093153918. It was assigned on June 13, 2013 and is currently active in the NPPES registry.
What is the specialty of Candlewood Family Dental LLC?
Candlewood Family Dental LLC is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X), licensed in CT under license number 009332.
Where does Candlewood Family Dental LLC practice?
The practice location is 940 Federal RD, Brookfield, CT 06804-1150. The office can be reached at 203-775-5533 (phone) or 203-775-5511 (fax).
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 1093153918 directly on the NPPES registry website.