- Practice location
- 1100 Barnum Ave, Stratford, CT 06614-4901
- Phone
- 716-239-5889
- Fax
- —
- Last updated
- April 7, 2017
Penta Dental Lc is a healthcare organization based in Stratford, CT. Penta Dental Lc practices in Stratford, CT. The NPI Number for Penta Dental Lc is 1689107534 and holds a License No. 010878 (CT). The current practice location address for Penta Dental Lc is 1100 Barnum Ave, Stratford, CT 06614-4901 and can be reached out via phone at 716-239-5889.
Provider Profile Details
- NPI Number
- 1689107534
- Provider Name
- Penta Dental Lc
- Provider Entity Type
- Organization
- Address
- 1100 Barnum Ave, Stratford, CT 06614-4901
- Phone Number
- 716-239-5889
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Dharam Tayal, DDS · Member · 716-239-5889
- Other Names
- Admire Dental (Doing Business As)
- Provider Enumeration Date
- April 7, 2017
- Last Update Date
- April 7, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1100 Barnum Ave
Stratford, CT 06614-4901 - City
- Stratford
- State
- Connecticut
- Zip
- 06614-4901
- Phone Number
- 716-239-5889
Provider Business Mailing Address Details
- Address
- 1100 Barnum Ave
Stratford, CT 06614-4901 - City
- Stratford
- State
- CT
- Zip
- 06614-4901
- Phone Number
- 716-239-5889
License Information
- License Number
- 010878
- License State
- CT
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Stratford, CT
View all Dentists in Stratford →Frequently Asked Questions
What is the NPI number of Penta Dental Lc?
The NPI number of Penta Dental Lc is 1689107534. It was assigned on April 7, 2017 and is currently active in the NPPES registry.
What is the specialty of Penta Dental Lc?
Penta Dental Lc is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 010878.
Where does Penta Dental Lc practice?
The practice location is 1100 Barnum Ave, Stratford, CT 06614-4901. The office can be reached at 716-239-5889 (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 1689107534 directly on the NPPES registry website.