Active NPIOrganization

Clinton Family Dentistry, LLC

Dentist in Clinton, Connecticut

NPI Number1730637703
Practice location
145R E Main St, Clinton, CT 06413-2104
Fax
—
Last updated
September 19, 2016

Clinton Family Dentistry, LLC is a healthcare organization based in Clinton, CT. Clinton Family Dentistry, LLC practices in Clinton, CT. The NPI Number for Clinton Family Dentistry, LLC is 1730637703 and holds a License No. 8902 (CT). The current practice location address for Clinton Family Dentistry, LLC is 145R E Main St, Clinton, CT 06413-2104 and can be reached out via phone at 860-669-2700.

Provider Profile Details

NPI Number
1730637703
Provider Name
Clinton Family Dentistry, LLC
Provider Entity Type
Organization
Address
145R E Main St, Clinton, CT 06413-2104
Phone Number
860-669-2700
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
Yes
Parent Organization
Clinton Family Dentistry, LLC
Authorized Official
Richard Panagrossi, DMD · Owner · 860-669-2700
Other Names
Clinton Family Dentistry, LLC (Doing Business As)
Provider Enumeration Date
September 19, 2016
Last Update Date
September 19, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
145R E Main St
Clinton, CT 06413-2104
Zip
06413-2104
Phone Number
860-669-2700
Clinton, CT 06413Get directions →

Provider Business Mailing Address Details

Address
145R E Main St
Clinton, CT 06413-2104
City
Clinton
State
CT
Zip
06413-2104
Phone Number
860-669-2700

License Information

License Number (1)
8902
License State (1)
CT
Taxonomy (1)
Dentist · 122300000X
License Number (2)
7503
License State (2)
CT
Taxonomy (2)
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 Clinton Family Dentistry, LLC?

The NPI number of Clinton Family Dentistry, LLC is 1730637703. It was assigned on September 19, 2016 and is currently active in the NPPES registry.

What is the specialty of Clinton Family Dentistry, LLC?

Clinton Family Dentistry, LLC is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 8902.

Where does Clinton Family Dentistry, LLC practice?

The practice location is 145R E Main St, Clinton, CT 06413-2104. The office can be reached at 860-669-2700 (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 1730637703 directly on the NPPES registry website.

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