Brass Mill Mall Dental L.l.p
Dentist, General Practice in Waterbury, Connecticut
1629263850- Practice location
- 495 Union St, Stuite 1016, Waterbury, CT 06706-1292
- Phone
- 203-574-2121
- Fax
- —
- Last updated
- March 18, 2015
Brass Mill Mall Dental L.l.p is a healthcare organization based in Waterbury, CT. Brass Mill Mall Dental L.l.p practices in Waterbury, CT. The NPI Number for Brass Mill Mall Dental L.l.p is 1629263850 and holds a License No. 008698 (CT). The current practice location address for Brass Mill Mall Dental L.l.p is 495 Union St, Stuite 1016, Waterbury, CT 06706-1292 and can be reached out via phone at 203-574-2121.
Provider Profile Details
- NPI Number
- 1629263850
- Provider Name
- Brass Mill Mall Dental L.l.p
- Provider Entity Type
- Organization
- Address
- 495 Union St, Stuite 1016, Waterbury, CT 06706-1292
- Phone Number
- 203-574-2121
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Ross Krasnov · Owner · 860-676-2828
- Provider Enumeration Date
- September 11, 2007
- Last Update Date
- March 18, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 495 Union St
Stuite 1016
Waterbury, CT 06706-1292 - City
- Waterbury
- State
- Connecticut
- Zip
- 06706-1292
- Phone Number
- 203-574-2121
Provider Business Mailing Address Details
- Address
- 495 Union St
Stuite 1016
Waterbury, CT 06706-1292 - City
- Waterbury
- State
- CT
- Zip
- 06706-1292
- Phone Number
- 203-574-2121
License Information
- License Number
- 008698
- License State
- CT
- Taxonomy
- 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 Brass Mill Mall Dental L.l.p?
The NPI number of Brass Mill Mall Dental L.l.p is 1629263850. It was assigned on September 11, 2007 and is currently active in the NPPES registry.
What is the specialty of Brass Mill Mall Dental L.l.p?
Brass Mill Mall Dental L.l.p is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 008698.
Where does Brass Mill Mall Dental L.l.p practice?
The practice location is 495 Union St, Stuite 1016, Waterbury, CT 06706-1292. The office can be reached at 203-574-2121 (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 1629263850 directly on the NPPES registry website.