West Main Family Dentistry
Dentist, General Practice in Waterbury, Connecticut
1396120390- Practice location
- 1147 W Main St, Waterbury, CT 06708-2737
- Phone
- 203-755-5641
- Fax
- 203-755-1675
- Last updated
- July 21, 2015
West Main Family Dentistry is a healthcare organization based in Waterbury, CT. West Main Family Dentistry practices in Waterbury, CT. The NPI Number for West Main Family Dentistry is 1396120390 and holds a License No. 11403 (CT). The current practice location address for West Main Family Dentistry is 1147 W Main St, Waterbury, CT 06708-2737 and can be reached out via phone at 203-755-5641 and via fax at 203-755-1675.
Provider Profile Details
- NPI Number
- 1396120390
- Provider Name
- West Main Family Dentistry
- Provider Entity Type
- Organization
- Address
- 1147 W Main St, Waterbury, CT 06708-2737
- Phone Number
- 203-755-5641
- Fax Number
- 203-755-1675
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Michael Balfour, DDS · Dentist (Owner) · 203-755-5641
- Provider Enumeration Date
- July 21, 2015
- Last Update Date
- July 21, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1147 W Main St
Waterbury, CT 06708-2737 - City
- Waterbury
- State
- Connecticut
- Zip
- 06708-2737
- Phone Number
- 203-755-5641
- Fax Number
- 203-755-1675
Provider Business Mailing Address Details
- Address
- 1147 W Main St
Waterbury, CT 06708-2737 - City
- Waterbury
- State
- CT
- Zip
- 06708-2737
- Phone Number
- 203-755-5641
- Fax Number
- 203-755-1675
License Information
- License Number (1)
- 11403
- License State (1)
- CT
- Taxonomy (1)
- Dentist, General Practice · 1223G0001X
- License Number (2)
- 05521
- License State (2)
- CT
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X
- License Number (3)
- 10493
- License State (3)
- CT
- 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. | |||
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Frequently Asked Questions
What is the NPI number of West Main Family Dentistry?
The NPI number of West Main Family Dentistry is 1396120390. It was assigned on July 21, 2015 and is currently active in the NPPES registry.
What is the specialty of West Main Family Dentistry?
West Main Family Dentistry is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 11403.
Where does West Main Family Dentistry practice?
The practice location is 1147 W Main St, Waterbury, CT 06708-2737. The office can be reached at 203-755-5641 (phone) or 203-755-1675 (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 1396120390 directly on the NPPES registry website.