- Practice location
- 595 Main Street, Portland, CT 06480-1156
- Phone
- 860-342-4502
- Fax
- 860-342-5474
- Last updated
- August 22, 2020
Portland Dental Care LLC is a healthcare organization based in Portland, CT. Portland Dental Care LLC practices in Portland, CT. The NPI Number for Portland Dental Care LLC is 1174605562. The current practice location address for Portland Dental Care LLC is 595 Main Street, Portland, CT 06480-1156 and can be reached out via phone at 860-342-4502 and via fax at 860-342-5474.
Provider Profile Details
- NPI Number
- 1174605562
- Provider Name
- Portland Dental Care LLC
- Provider Entity Type
- Organization
- Address
- 595 Main Street, Portland, CT 06480-1156
- Phone Number
- 860-342-4502
- Fax Number
- 860-342-5474
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Peter Gletzakos, DMD · Owner · 860-342-4502
- Provider Enumeration Date
- October 19, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 595 Main Street
Portland, CT 06480-1156 - City
- Portland
- State
- Connecticut
- Zip
- 06480-1156
- Phone Number
- 860-342-4502
- Fax Number
- 860-342-5474
Provider Business Mailing Address Details
- Address
- 595 Main Street
Portland, CT 06480-1156 - City
- Portland
- State
- CT
- Zip
- 06480-1156
- Phone Number
- 860-342-4502
- Fax Number
- 860-342-5474
License Information
- 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 Portland, CT
View all Dentists in Portland →Frequently Asked Questions
What is the NPI number of Portland Dental Care LLC?
The NPI number of Portland Dental Care LLC is 1174605562. It was assigned on October 19, 2006 and is currently active in the NPPES registry.
What is the specialty of Portland Dental Care LLC?
Portland Dental Care LLC is registered under the primary taxonomy Dentist (code 122300000X).
Where does Portland Dental Care LLC practice?
The practice location is 595 Main Street, Portland, CT 06480-1156. The office can be reached at 860-342-4502 (phone) or 860-342-5474 (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 1174605562 directly on the NPPES registry website.