Active NPIOrganization

Granby Dental, LLC

Dentist, General Practice in Granby, Connecticut

NPI Number1295889517
Practice location
26 East Granby RD., Granby, CT 06035-0450
Fax
860-653-9536
Last updated
April 1, 2013

Granby Dental, LLC is a healthcare organization based in Granby, CT. Granby Dental, LLC practices in Granby, CT. The NPI Number for Granby Dental, LLC is 1295889517. The current practice location address for Granby Dental, LLC is 26 East Granby RD., Granby, CT 06035-0450 and can be reached out via phone at 860-653-7596 and via fax at 860-653-9536.

Provider Profile Details

NPI Number
1295889517
Provider Name
Granby Dental, LLC
Provider Entity Type
Organization
Address
26 East Granby RD., Granby, CT 06035-0450
Phone Number
860-653-7596
Fax Number
860-653-9536
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Richard S. Kirschbaum, DDS · Owner · 860-653-7596
Provider Enumeration Date
January 23, 2007
Last Update Date
April 1, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
26 East Granby RD.
Granby, CT 06035-0450
City
Granby
Zip
06035-0450
Phone Number
860-653-7596
Fax Number
860-653-9536
Granby, CT 06035Get directions →

Provider Business Mailing Address Details

Address
26 East Granby RD.
P.o. Box 450
Granby, CT 06035-0450
City
Granby
State
CT
Zip
06035-0450
Phone Number
860-653-7596
Fax Number
860-653-9536

License Information

Taxonomy (1)
Dental Assistant · 126800000X
Taxonomy (2)
Dental Hygienist · 124Q00000X
Taxonomy (3)
Dentist · 122300000X
Taxonomy (4)
Dentist, Endodontics · 1223E0200X
Taxonomy (5)
Dentist, Pediatric Dentistry · 1223P0221X
Taxonomy (7)
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 Granby Dental, LLC?

The NPI number of Granby Dental, LLC is 1295889517. It was assigned on January 23, 2007 and is currently active in the NPPES registry.

What is the specialty of Granby Dental, LLC?

Granby Dental, LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).

Where does Granby Dental, LLC practice?

The practice location is 26 East Granby RD., Granby, CT 06035-0450. The office can be reached at 860-653-7596 (phone) or 860-653-9536 (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 1295889517 directly on the NPPES registry website.

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