Active NPIOrganization

Thalody Family Dentistry LLC

Dentist in Portland, Connecticut

NPI Number1346600368
Practice location
260 Main St, Portland, CT 06480
Fax
860-342-2177
Last updated
March 3, 2016

Thalody Family Dentistry LLC is a healthcare organization based in Portland, CT. Thalody Family Dentistry LLC practices in Portland, CT. The NPI Number for Thalody Family Dentistry LLC is 1346600368 and holds a License No. 004615 (CT). The current practice location address for Thalody Family Dentistry LLC is 260 Main St, Portland, CT 06480 and can be reached out via phone at 860-342-2176 and via fax at 860-342-2177.

Provider Profile Details

NPI Number
1346600368
Provider Name
Thalody Family Dentistry LLC
Provider Entity Type
Organization
Address
260 Main St, Portland, CT 06480
Phone Number
860-342-2176
Fax Number
860-342-2177
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Dr. Thomas P Thalody, DDS · Owner · 860-342-2176
Other Names
Portland Smile Care (Doing Business As)
Provider Enumeration Date
March 3, 2016
Last Update Date
March 3, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
260 Main St
Portland, CT 06480
Zip
06480
Phone Number
860-342-2176
Fax Number
860-342-2177
Portland, CT 06480Get directions →

Provider Business Mailing Address Details

Address
260 Main St
Portland, CT 06480-1859
City
Portland
State
CT
Zip
06480-1859
Phone Number
860-342-2176
Fax Number
860-342-2177

License Information

License Number (1)
004615
License State (1)
CT
Taxonomy (1)
Dentist · 122300000X
License Number (2)
008931
License State (2)
CT
Taxonomy (2)
Dentist · 122300000X · 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 Thalody Family Dentistry LLC?

The NPI number of Thalody Family Dentistry LLC is 1346600368. It was assigned on March 3, 2016 and is currently active in the NPPES registry.

What is the specialty of Thalody Family Dentistry LLC?

Thalody Family Dentistry LLC is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 004615.

Where does Thalody Family Dentistry LLC practice?

The practice location is 260 Main St, Portland, CT 06480. The office can be reached at 860-342-2176 (phone) or 860-342-2177 (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 1346600368 directly on the NPPES registry website.

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