Modern Family Dental
Dentist, General Practice in Stratford, Connecticut
1386035707- Practice location
- 360 Boston Ave, Suite 17, Stratford, CT 06614-5213
- Phone
- 860-437-3462
- Fax
- 860-437-3485
- Last updated
- September 21, 2015
Modern Family Dental is a healthcare organization based in Stratford, CT. Modern Family Dental practices in Stratford, CT. The NPI Number for Modern Family Dental is 1386035707. The current practice location address for Modern Family Dental is 360 Boston Ave, Suite 17, Stratford, CT 06614-5213 and can be reached out via phone at 860-437-3462 and via fax at 860-437-3485.
Provider Profile Details
- NPI Number
- 1386035707
- Provider Name
- Modern Family Dental
- Provider Entity Type
- Organization
- Address
- 360 Boston Ave, Suite 17, Stratford, CT 06614-5213
- Phone Number
- 860-437-3462
- Fax Number
- 860-437-3485
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Mrs. Linda Mrowka · Office Manager · 860-437-3462
- Other Names
- Sgroup LLC (Other Name)
- Provider Enumeration Date
- February 6, 2015
- Last Update Date
- September 21, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 360 Boston Ave
Suite 17
Stratford, CT 06614-5213 - City
- Stratford
- State
- Connecticut
- Zip
- 06614-5213
- Phone Number
- 860-437-3462
- Fax Number
- 860-437-3485
Provider Business Mailing Address Details
- Address
- 320 Boston Ave
Suite 17
Stratford, CT 06614-5213 - City
- Stratford
- State
- CT
- Zip
- 06614-5213
- Phone Number
- 860-437-3462
- Fax Number
- 860-437-3485
License Information
- License State (1)
- CT
- Taxonomy (1)
- Dentist, Pediatric Dentistry · 1223P0221X
- License State (2)
- CT
- Taxonomy (2)
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
- Taxonomy (3)
- 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 Stratford, CT
View all Dentist, General Practice providers in Stratford →- A-Smile LLCDentist, General Practice · NPI 1912461526
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- Brush & Floss Dental Center LLCDentist, General Practice · NPI 1962617506
- Choice Dental Care, PCDentist, General Practice · NPI 1821475104
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- Dental Flossophy LLCDentist, General Practice · NPI 1104530674
Frequently Asked Questions
What is the NPI number of Modern Family Dental?
The NPI number of Modern Family Dental is 1386035707. It was assigned on February 6, 2015 and is currently active in the NPPES registry.
What is the specialty of Modern Family Dental?
Modern Family Dental is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).
Where does Modern Family Dental practice?
The practice location is 360 Boston Ave, Suite 17, Stratford, CT 06614-5213. The office can be reached at 860-437-3462 (phone) or 860-437-3485 (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 1386035707 directly on the NPPES registry website.