Active NPIOrganization

Advanced Dental Of Cromwell LLC

Dentist, Prosthodontics in Cromwell, Connecticut

NPI Number1265942676
Practice location
26 Shunpike RD Ste A, Cromwell, CT 06416-2442
Fax
860-828-1610
Last updated
July 18, 2019

Advanced Dental Of Cromwell LLC is a healthcare organization based in Cromwell, CT. Advanced Dental Of Cromwell LLC practices in Cromwell, CT. The NPI Number for Advanced Dental Of Cromwell LLC is 1265942676 and holds a License No. CT006968 (CT). The current practice location address for Advanced Dental Of Cromwell LLC is 26 Shunpike RD Ste A, Cromwell, CT 06416-2442 and can be reached out via phone at 860-894-2933 and via fax at 860-828-1610.

Provider Profile Details

NPI Number
1265942676
Provider Name
Advanced Dental Of Cromwell LLC
Provider Entity Type
Organization
Address
26 Shunpike RD Ste A, Cromwell, CT 06416-2442
Phone Number
860-894-2933
Fax Number
860-828-1610
Primary Taxonomy
Dentist, Prosthodontics · 1223P0700X
Organization Subpart
No
Authorized Official
Dr. Michael Maroon, DMD · Managing Member/Owner · 860-894-2933
Provider Enumeration Date
October 11, 2017
Last Update Date
July 18, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
26 Shunpike RD Ste A
Cromwell, CT 06416-2442
Zip
06416-2442
Phone Number
860-894-2933
Fax Number
860-828-1610
Cromwell, CT 06416Get directions →

Provider Business Mailing Address Details

Address
26 Shunpike RD Ste A
Cromwell, CT 06416-2442
City
Cromwell
State
CT
Zip
06416-2442
Phone Number
860-894-2933
Fax Number
860-828-1610

License Information

License Number (2)
CT006968
License State (2)
CT
Taxonomy (2)
Dentist, Prosthodontics · 1223P0700X · 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 Advanced Dental Of Cromwell LLC?

The NPI number of Advanced Dental Of Cromwell LLC is 1265942676. It was assigned on October 11, 2017 and is currently active in the NPPES registry.

What is the specialty of Advanced Dental Of Cromwell LLC?

Advanced Dental Of Cromwell LLC is registered under the primary taxonomy Dentist, Prosthodontics (code 1223P0700X), licensed in CT under license number CT006968.

Where does Advanced Dental Of Cromwell LLC practice?

The practice location is 26 Shunpike RD Ste A, Cromwell, CT 06416-2442. The office can be reached at 860-894-2933 (phone) or 860-828-1610 (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 1265942676 directly on the NPPES registry website.

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