Mystic Dental Group, P.c.
Dentist, General Practice in Mystic, Connecticut
1376700997- Practice location
- 117 Cow Hill RD, Mystic, CT 06355-1449
- Phone
- 860-536-4951
- Fax
- —
- Last updated
- May 21, 2008
Mystic Dental Group, P.c. is a healthcare organization based in Mystic, CT. Mystic Dental Group, P.c. practices in Mystic, CT. The NPI Number for Mystic Dental Group, P.c. is 1376700997 and holds a License No. 8531 (CT). The current practice location address for Mystic Dental Group, P.c. is 117 Cow Hill RD, Mystic, CT 06355-1449 and can be reached out via phone at 860-536-4951.
Provider Profile Details
- NPI Number
- 1376700997
- Provider Name
- Mystic Dental Group, P.c.
- Provider Entity Type
- Organization
- Address
- 117 Cow Hill RD, Mystic, CT 06355-1449
- Phone Number
- 860-536-4951
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Tara Cisco · Manager · 860-536-4951
- Provider Enumeration Date
- May 21, 2008
- Last Update Date
- May 21, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 117 Cow Hill RD
Mystic, CT 06355-1449 - City
- Mystic
- State
- Connecticut
- Zip
- 06355-1449
- Phone Number
- 860-536-4951
Provider Business Mailing Address Details
- Address
- 117 Cow Hill RD
Mystic, CT 06355-1449 - City
- Mystic
- State
- CT
- Zip
- 06355-1449
License Information
- License Number
- 8531
- License State
- CT
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Mystic, CT
View all Dentist, General Practice providers in Mystic →- Dr. Dennis F Flanagan, DDSDentist, General Practice · NPI 1588797419
- Dr. Jeremy D Wano, DMDDentist, General Practice · NPI 1396167862
- Dr. Joseph Kuzmic, DDSDentist, General Practice · NPI 1962556712
- Dr. Madlene EskaroseDentist, General Practice · NPI 1225146707
- Dr. Mark Fallon, DMDDentist, General Practice · NPI 1780738542
- Dr. Michael Smyle, DDSDentist, General Practice · NPI 1336293109
Frequently Asked Questions
What is the NPI number of Mystic Dental Group, P.c.?
The NPI number of Mystic Dental Group, P.c. is 1376700997. It was assigned on May 21, 2008 and is currently active in the NPPES registry.
What is the specialty of Mystic Dental Group, P.c.?
Mystic Dental Group, P.c. is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 8531.
Where does Mystic Dental Group, P.c. practice?
The practice location is 117 Cow Hill RD, Mystic, CT 06355-1449. The office can be reached at 860-536-4951 (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 1376700997 directly on the NPPES registry website.