Active NPIOrganization

'Thames River Dental Group

Dentist in New London, Connecticut

NPI Number1659724896
Practice location
27 Broad St, New London, CT 06320
Fax
860-447-0363
Last updated
July 22, 2016

'Thames River Dental Group is a healthcare organization based in New London, CT. 'Thames River Dental Group practices in New London, CT. The NPI Number for 'Thames River Dental Group is 1659724896 and holds a License No. 11604 (CT). The current practice location address for 'Thames River Dental Group is 27 Broad St, New London, CT 06320 and can be reached out via phone at 860-447-1714 and via fax at 860-447-0363.

Provider Profile Details

NPI Number
1659724896
Provider Name
'Thames River Dental Group
Provider Entity Type
Organization
Address
27 Broad St, New London, CT 06320
Phone Number
860-447-1714
Fax Number
860-447-0363
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Mr. Marcus Capalbo, DDS · Dentist · 860-447-1714
Provider Enumeration Date
July 22, 2016
Last Update Date
July 22, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
27 Broad St
New London, CT 06320
Zip
06320
Phone Number
860-447-1714
Fax Number
860-447-0363
New London, CT 06320Get directions →

Provider Business Mailing Address Details

Address
27 Broad St
New London, CT 06320-5973
City
New London
State
CT
Zip
06320-5973
Phone Number
860-447-1714
Fax Number
860-447-0363

License Information

License Number
11604
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 'Thames River Dental Group?

The NPI number of 'Thames River Dental Group is 1659724896. It was assigned on July 22, 2016 and is currently active in the NPPES registry.

What is the specialty of 'Thames River Dental Group?

'Thames River Dental Group is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 11604.

Where does 'Thames River Dental Group practice?

The practice location is 27 Broad St, New London, CT 06320. The office can be reached at 860-447-1714 (phone) or 860-447-0363 (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 1659724896 directly on the NPPES registry website.

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