260 Main St Portland INC
Clinic/Center, Dental in Portland, Connecticut
1659946085- Practice location
- 260 Main St, Portland, CT 06480-1859
- Phone
- 860-342-2176
- Fax
- —
- Last updated
- May 27, 2021
260 Main St Portland INC is a healthcare organization based in Portland, CT. 260 Main St Portland INC practices in Portland, CT. The NPI Number for 260 Main St Portland INC is 1659946085. The current practice location address for 260 Main St Portland INC is 260 Main St, Portland, CT 06480-1859 and can be reached out via phone at 860-342-2176.
Provider Profile Details
- NPI Number
- 1659946085
- Provider Name
- 260 Main St Portland INC
- Provider Entity Type
- Organization
- Address
- 260 Main St, Portland, CT 06480-1859
- Phone Number
- 860-342-2176
- Primary Taxonomy
- Clinic/Center, Dental · 261QD0000X
- Organization Subpart
- No
- Authorized Official
- Longqian Wang, DDS · President · 929-285-8883
- Provider Enumeration Date
- May 27, 2021
- Last Update Date
- May 27, 2021
- Certification Date
- May 27, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 260 Main St
Portland, CT 06480-1859 - City
- Portland
- State
- Connecticut
- Zip
- 06480-1859
- Phone Number
- 860-342-2176
Provider Business Mailing Address Details
- Address
- 902 Post RD
Scarsdale, NY 10583-5544 - City
- Scarsdale
- State
- NY
- Zip
- 10583-5544
License Information
- Taxonomy
- Clinic/Center, Dental · 261QD0000X · 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 260 Main St Portland INC?
The NPI number of 260 Main St Portland INC is 1659946085. It was assigned on May 27, 2021 and is currently active in the NPPES registry.
What is the specialty of 260 Main St Portland INC?
260 Main St Portland INC is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X).
Where does 260 Main St Portland INC practice?
The practice location is 260 Main St, Portland, CT 06480-1859. The office can be reached at 860-342-2176 (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 1659946085 directly on the NPPES registry website.