Active NPIOrganization

Charter Oak Dental Center LLC

Dentist in Hartford, Connecticut

NPI Number1548635899
Practice location
330 Main St, Hartford, CT 06106-1860
Fax
860-899-2803
Last updated
December 10, 2015

Charter Oak Dental Center LLC is a healthcare organization based in Hartford, CT. Charter Oak Dental Center LLC practices in Hartford, CT. The NPI Number for Charter Oak Dental Center LLC is 1548635899 and holds a License No. 11063 (CT). The current practice location address for Charter Oak Dental Center LLC is 330 Main St, Hartford, CT 06106-1860 and can be reached out via phone at 860-899-2804 and via fax at 860-899-2803.

Provider Profile Details

NPI Number
1548635899
Provider Name
Charter Oak Dental Center LLC
Provider Entity Type
Organization
Address
330 Main St, Hartford, CT 06106-1860
Phone Number
860-899-2804
Fax Number
860-899-2803
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Dr. Shakil U Syed, DDS · Owner/Member · 860-899-2804
Provider Enumeration Date
December 10, 2015
Last Update Date
December 10, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
330 Main St
Hartford, CT 06106-1860
Zip
06106-1860
Phone Number
860-899-2804
Fax Number
860-899-2803
Hartford, CT 06106Get directions →

Provider Business Mailing Address Details

Address
330 Main St
Hartford, CT 06106-1860
City
Hartford
State
CT
Zip
06106-1860
Phone Number
860-899-2804
Fax Number
860-899-2803

License Information

License Number
11063
License State
CT
Taxonomy
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 Charter Oak Dental Center LLC?

The NPI number of Charter Oak Dental Center LLC is 1548635899. It was assigned on December 10, 2015 and is currently active in the NPPES registry.

What is the specialty of Charter Oak Dental Center LLC?

Charter Oak Dental Center LLC is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 11063.

Where does Charter Oak Dental Center LLC practice?

The practice location is 330 Main St, Hartford, CT 06106-1860. The office can be reached at 860-899-2804 (phone) or 860-899-2803 (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 1548635899 directly on the NPPES registry website.

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