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Blue Back Dental Llc
Periodontist in West Hartford, Connecticut
NPI 1174814495

Blue Back Dental Llc is a Periodontist based in West Hartford, CT and is specialized in Periodontics. Blue Back Dental Llc practices in West Hartford, CT. The NPI Number for Blue Back Dental Llc is 1174814495 and holds a License No. 5904 (Connecticut).

The current practice location address for Blue Back Dental Llc is 65 Memorial Rd Ste 400, West Hartford, CT and can be reached out via phone at 860-233-9300 and via fax at 860-233-9304.

Location: 65 Memorial Rd Ste 400, West Hartford, CT, 06107-4219
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174814495
Provider Name
Blue Back Dental Llc
Credential
Provider Entity Type
Organization
Address
65 Memorial Rd Ste 400, West Hartford, CT, 06107-4219
Phone Number
860-233-9300
Fax Number
860-233-9304
Provider Enumeration Date
04/20/2011
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
65 Memorial Rd Ste 400
City
West Hartford
State
Connecticut
Zip
06107-4219
Phone Number
860-233-9300
Fax Number
860-233-9304
person
Provider Business Mailing Address Details
Address
65 Memorial Rd Ste 400
City
West Hartford
State
Connecticut
Zip
06107-4219
Phone Number
860-233-9300
Fax Number
860-233-9304
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
8915 (Connecticut)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
5904 (Connecticut)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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