Active NPIOrganization

East Hampton Family Dental

Dentist, General Practice in East Hampton, Connecticut

NPI Number1609311604
Practice location
41 W High St, East Hampton, CT 06424-1024
Fax
860-267-7270
Last updated
December 29, 2016

East Hampton Family Dental is a healthcare organization based in East Hampton, CT. East Hampton Family Dental practices in East Hampton, CT. The NPI Number for East Hampton Family Dental is 1609311604 and holds a License No. 11346 (CT). The current practice location address for East Hampton Family Dental is 41 W High St, East Hampton, CT 06424-1024 and can be reached out via phone at 860-267-9904 and via fax at 860-267-7270.

Provider Profile Details

NPI Number
1609311604
Provider Name
East Hampton Family Dental
Provider Entity Type
Organization
Address
41 W High St, East Hampton, CT 06424-1024
Phone Number
860-267-9904
Fax Number
860-267-7270
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Vijayalakshmi Canakalavenkata, DMD · Owner · 860-267-9904
Provider Enumeration Date
December 29, 2016
Last Update Date
December 29, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 W High St
East Hampton, CT 06424-1024
Zip
06424-1024
Phone Number
860-267-9904
Fax Number
860-267-7270
East Hampton, CT 06424Get directions →

Provider Business Mailing Address Details

Address
41 W High St
East Hampton, CT 06424-1024
City
East Hampton
State
CT
Zip
06424-1024
Phone Number
860-267-9904
Fax Number
860-267-7270

License Information

License Number
11346
License State
CT
Taxonomy
Dentist, General Practice · 1223G0001X · 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 East Hampton Family Dental?

The NPI number of East Hampton Family Dental is 1609311604. It was assigned on December 29, 2016 and is currently active in the NPPES registry.

What is the specialty of East Hampton Family Dental?

East Hampton Family Dental is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 11346.

Where does East Hampton Family Dental practice?

The practice location is 41 W High St, East Hampton, CT 06424-1024. The office can be reached at 860-267-9904 (phone) or 860-267-7270 (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 1609311604 directly on the NPPES registry website.

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