West Main Dental Associates
Dentist, General Practice in Waterbury, Connecticut
1720204415- Practice location
- 1147 W Main St, Waterbury, CT 06708-2737
- Phone
- 203-755-5641
- Fax
- —
- Last updated
- May 10, 2012
West Main Dental Associates is a healthcare organization based in Waterbury, CT. West Main Dental Associates practices in Waterbury, CT. The NPI Number for West Main Dental Associates is 1720204415 and holds a License No. 4391 (CT). The current practice location address for West Main Dental Associates is 1147 W Main St, Waterbury, CT 06708-2737 and can be reached out via phone at 203-755-5641.
Provider Profile Details
- NPI Number
- 1720204415
- Provider Name
- West Main Dental Associates
- Provider Entity Type
- Organization
- Address
- 1147 W Main St, Waterbury, CT 06708-2737
- Phone Number
- 203-755-5641
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Terence E Hickey, DMD · President · 203-755-5641
- Provider Enumeration Date
- April 18, 2007
- Last Update Date
- May 10, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1147 W Main St
Waterbury, CT 06708-2737 - City
- Waterbury
- State
- Connecticut
- Zip
- 06708-2737
- Phone Number
- 203-755-5641
Provider Business Mailing Address Details
- Address
- 1147 W Main St
Waterbury, CT 06708-2737 - City
- Waterbury
- State
- CT
- Zip
- 06708-2737
- Phone Number
- 203-755-5641
License Information
- License Number (1)
- 4391
- License State (1)
- CT
- Taxonomy (1)
- Dentist, General Practice · 1223G0001X
- License Number (2)
- 5521
- License State (2)
- NY
- Taxonomy (2)
- 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 West Main Dental Associates?
The NPI number of West Main Dental Associates is 1720204415. It was assigned on April 18, 2007 and is currently active in the NPPES registry.
What is the specialty of West Main Dental Associates?
West Main Dental Associates is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 4391.
Where does West Main Dental Associates practice?
The practice location is 1147 W Main St, Waterbury, CT 06708-2737. The office can be reached at 203-755-5641 (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 1720204415 directly on the NPPES registry website.