Lindawatti Hermawan
Dentist, General Practice in New London, Connecticut
1720658545- Practice location
- 258 S Frontage RD, New London, CT 06320-2641
- Phone
- 860-437-3462
- Fax
- —
- Last updated
- October 26, 2026
Lindawatti Hermawan is a Dentist, General Practice based in New London, CT. Lindawatti Hermawan practices in New London, CT. The NPI Number for Lindawatti Hermawan is 1720658545 and holds a License No. 39189 (TX). The current practice location address for Lindawatti Hermawan is 258 S Frontage RD, New London, CT 06320-2641 and can be reached out via phone at 860-437-3462.
Provider Profile Details
- NPI Number
- 1720658545
- Provider Name
- Lindawatti Hermawan
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 258 S Frontage RD, New London, CT 06320-2641
- Phone Number
- 860-437-3462
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 25, 2021
- Last Update Date
- October 26, 2026
- Certification Date
- October 26, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 258 S Frontage RD
New London, CT 06320-2641 - City
- New London
- State
- Connecticut
- Zip
- 06320-2641
- Phone Number
- 860-437-3462
Provider Business Mailing Address Details
- Address
- 4319 69TH St Apt 2F
Woodside, NY 11377-3974 - City
- Woodside
- State
- NY
- Zip
- 11377-3974
License Information
- License Number
- 39189
- License State
- TX
- 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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- Dr. David M Snyderman, DDSDentist, General Practice · NPI 1316961121
- Dr. Gi Tae Kwon, DDSDentist, General Practice · NPI 1649795964
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Frequently Asked Questions
What is the NPI number of Lindawatti Hermawan?
The NPI number of Lindawatti Hermawan is 1720658545. It was assigned on June 25, 2021 and is currently active in the NPPES registry.
What is the specialty of Lindawatti Hermawan?
Lindawatti Hermawan is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in TX under license number 39189.
Where does Lindawatti Hermawan practice?
The practice location is 258 S Frontage RD, New London, CT 06320-2641. The office can be reached at 860-437-3462 (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 1720658545 directly on the NPPES registry website.