Diamond Dental LLC
Preferred Provider Organization in Newtown, Connecticut
1396113064- Practice location
- 274 S Main St, Unit C9, Newtown, CT 06470-6705
- Phone
- 203-403-2446
- Fax
- —
- Last updated
- September 10, 2015
Diamond Dental LLC is a healthcare organization based in Newtown, CT. Diamond Dental LLC practices in Newtown, CT. The NPI Number for Diamond Dental LLC is 1396113064 and holds a License No. 010135 (CT). The current practice location address for Diamond Dental LLC is 274 S Main St, Unit C9, Newtown, CT 06470-6705 and can be reached out via phone at 203-403-2446.
Provider Profile Details
- NPI Number
- 1396113064
- Provider Name
- Diamond Dental LLC
- Provider Entity Type
- Organization
- Address
- 274 S Main St, Unit C9, Newtown, CT 06470-6705
- Phone Number
- 203-403-2446
- Primary Taxonomy
- Preferred Provider Organization · 305R00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Ratna Vedullapalli, DDS · Member, Owner · 908-930-1938
- Provider Enumeration Date
- September 10, 2015
- Last Update Date
- September 10, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 274 S Main St
Unit C9
Newtown, CT 06470-6705 - City
- Newtown
- State
- Connecticut
- Zip
- 06470-6705
- Phone Number
- 203-403-2446
Provider Business Mailing Address Details
- Address
- 274 S Main St
Unit C9
Newtown, CT 06470-6705 - City
- Newtown
- State
- CT
- Zip
- 06470-6705
- Phone Number
- 203-403-2446
License Information
- License Number
- 010135
- License State
- CT
- Taxonomy
- Preferred Provider Organization · 305R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Diamond Dental LLC?
The NPI number of Diamond Dental LLC is 1396113064. It was assigned on September 10, 2015 and is currently active in the NPPES registry.
What is the specialty of Diamond Dental LLC?
Diamond Dental LLC is registered under the primary taxonomy Preferred Provider Organization (code 305R00000X), licensed in CT under license number 010135.
Where does Diamond Dental LLC practice?
The practice location is 274 S Main St, Unit C9, Newtown, CT 06470-6705. The office can be reached at 203-403-2446 (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 1396113064 directly on the NPPES registry website.