Active NPIOrganization

Addison Village Dental, INC

Dentist, General Practice in Glastonbury, Connecticut

NPI Number1265863518
Practice location
969 Hebron Ave, Glastonbury, CT 06033-5033
Fax
—
Last updated
December 2, 2021

Addison Village Dental, INC is a healthcare organization based in Glastonbury, CT. Addison Village Dental, INC practices in Glastonbury, CT. The NPI Number for Addison Village Dental, INC is 1265863518 and holds a License No. 009515 (CT). The current practice location address for Addison Village Dental, INC is 969 Hebron Ave, Glastonbury, CT 06033-5033 and can be reached out via phone at 646-752-2005.

Provider Profile Details

NPI Number
1265863518
Provider Name
Addison Village Dental, INC
Provider Entity Type
Organization
Address
969 Hebron Ave, Glastonbury, CT 06033-5033
Phone Number
646-752-2005
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Gabriela Vatafu · President · 646-752-2005
Provider Enumeration Date
December 11, 2013
Last Update Date
December 2, 2021
Certification Date
December 2, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
969 Hebron Ave
Glastonbury, CT 06033-5033
Zip
06033-5033
Phone Number
646-752-2005
Glastonbury, CT 06033Get directions →

Provider Business Mailing Address Details

Address
969 Hebron Ave
Glastonbury, CT 06033-5033
City
Glastonbury
State
CT
Zip
06033-5033

License Information

License Number
009515
License State
CT
Taxonomy
Dentist, General Practice · 1223G0001X · 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 Addison Village Dental, INC?

The NPI number of Addison Village Dental, INC is 1265863518. It was assigned on December 11, 2013 and is currently active in the NPPES registry.

What is the specialty of Addison Village Dental, INC?

Addison Village Dental, INC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 009515.

Where does Addison Village Dental, INC practice?

The practice location is 969 Hebron Ave, Glastonbury, CT 06033-5033. The office can be reached at 646-752-2005 (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 1265863518 directly on the NPPES registry website.

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