Dental Group Of Waterbury, LLC
Dentist in Waterbury, Connecticut
1164745956- Practice location
- 1127 W Main St, Waterbury, CT 06708-2764
- Phone
- 203-573-9989
- Fax
- 203-759-0239
- Last updated
- December 9, 2010
Dental Group Of Waterbury, LLC is a healthcare organization based in Waterbury, CT. Dental Group Of Waterbury, LLC practices in Waterbury, CT. The NPI Number for Dental Group Of Waterbury, LLC is 1164745956 and holds a License No. 008810 (CT). The current practice location address for Dental Group Of Waterbury, LLC is 1127 W Main St, Waterbury, CT 06708-2764 and can be reached out via phone at 203-573-9989 and via fax at 203-759-0239.
Provider Profile Details
- NPI Number
- 1164745956
- Provider Name
- Dental Group Of Waterbury, LLC
- Provider Entity Type
- Organization
- Address
- 1127 W Main St, Waterbury, CT 06708-2764
- Phone Number
- 203-573-9989
- Fax Number
- 203-759-0239
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Roxanne Tamayo-Bordies, DDS · Owner · 2032035739989
- Provider Enumeration Date
- March 8, 2010
- Last Update Date
- December 9, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1127 W Main St
Waterbury, CT 06708-2764 - City
- Waterbury
- State
- Connecticut
- Zip
- 06708-2764
- Phone Number
- 203-573-9989
- Fax Number
- 203-759-0239
Provider Business Mailing Address Details
- Address
- 1127 W Main St
Waterbury, CT 06708-2764 - City
- Waterbury
- State
- CT
- Zip
- 06708-2764
- Phone Number
- 203-573-9989
- Fax Number
- 203-759-0239
License Information
- License Number
- 008810
- License State
- CT
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Waterbury, CT
View all Dentists in Waterbury →Frequently Asked Questions
What is the NPI number of Dental Group Of Waterbury, LLC?
The NPI number of Dental Group Of Waterbury, LLC is 1164745956. It was assigned on March 8, 2010 and is currently active in the NPPES registry.
What is the specialty of Dental Group Of Waterbury, LLC?
Dental Group Of Waterbury, LLC is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 008810.
Where does Dental Group Of Waterbury, LLC practice?
The practice location is 1127 W Main St, Waterbury, CT 06708-2764. The office can be reached at 203-573-9989 (phone) or 203-759-0239 (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 1164745956 directly on the NPPES registry website.