Active NPIOrganization

Bethany Sr PLLC

Clinic/Center, Dental in Redding, Connecticut

NPI Number1104450956
Practice location
2 Long Ridge RD, Redding, CT 06896-1111
Fax
—
Last updated
March 1, 2020

Bethany Sr PLLC is a healthcare organization based in Redding, CT. Bethany Sr PLLC practices in Redding, CT. The NPI Number for Bethany Sr PLLC is 1104450956. The current practice location address for Bethany Sr PLLC is 2 Long Ridge RD, Redding, CT 06896-1111 and can be reached out via phone at 203-664-1994.

Provider Profile Details

NPI Number
1104450956
Provider Name
Bethany Sr PLLC
Provider Entity Type
Organization
Address
2 Long Ridge RD, Redding, CT 06896-1111
Phone Number
203-664-1994
Primary Taxonomy
Clinic/Center, Dental · 261QD0000X
Organization Subpart
No
Authorized Official
Dr. Sean Lee, DDS · Officer · 949-394-3378
Provider Enumeration Date
March 1, 2020
Last Update Date
March 1, 2020
Certification Date
March 1, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Long Ridge RD
Redding, CT 06896-1111
Zip
06896-1111
Phone Number
203-664-1994
Redding, CT 06896Get directions →

Provider Business Mailing Address Details

Address
2 Long Ridge RD
Redding, CT 06896-1111
City
Redding
State
CT
Zip
06896-1111
Phone Number
203-664-1994

License Information

Taxonomy
Clinic/Center, Dental · 261QD0000X · 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 Bethany Sr PLLC?

The NPI number of Bethany Sr PLLC is 1104450956. It was assigned on March 1, 2020 and is currently active in the NPPES registry.

What is the specialty of Bethany Sr PLLC?

Bethany Sr PLLC is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X).

Where does Bethany Sr PLLC practice?

The practice location is 2 Long Ridge RD, Redding, CT 06896-1111. The office can be reached at 203-664-1994 (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 1104450956 directly on the NPPES registry website.

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