Active NPIOrganization

Dental Services Of South Windsor, LLC

Dentist, General Practice in South Windsor, Connecticut

NPI Number1750302980
Practice location
479 Buckland Road, South Windsor, CT 06074-3515
Fax
860-648-0181
Last updated
August 18, 2008

Dental Services Of South Windsor, LLC is a healthcare organization based in South Windsor, CT. Dental Services Of South Windsor, LLC practices in South Windsor, CT. The NPI Number for Dental Services Of South Windsor, LLC is 1750302980 and holds a License No. 9300 (CT). The current practice location address for Dental Services Of South Windsor, LLC is 479 Buckland Road, South Windsor, CT 06074-3515 and can be reached out via phone at 860-648-4471 and via fax at 860-648-0181.

Provider Profile Details

NPI Number
1750302980
Provider Name
Dental Services Of South Windsor, LLC
Provider Entity Type
Organization
Address
479 Buckland Road, South Windsor, CT 06074-3515
Phone Number
860-648-4471
Fax Number
860-648-0181
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Gregory Bruce Haroian, DMD · Owner/Member Dentist · 860-289-4955
Provider Enumeration Date
July 22, 2006
Last Update Date
August 18, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
479 Buckland Road
South Windsor, CT 06074-3515
Zip
06074-3515
Phone Number
860-648-4471
Fax Number
860-648-0181
South Windsor, CT 06074Get directions →

Provider Business Mailing Address Details

Address
479 Buckland RD
South Windsor, CT 06074-3739
City
South Windsor
State
CT
Zip
06074-3739
Phone Number
860-648-4471
Fax Number
860-648-0181

License Information

License Number (1)
9300
License State (1)
CT
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
6350
License State (2)
CT
Taxonomy (2)
Dentist, General Practice · 1223G0001X · 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 Dental Services Of South Windsor, LLC?

The NPI number of Dental Services Of South Windsor, LLC is 1750302980. It was assigned on July 22, 2006 and is currently active in the NPPES registry.

What is the specialty of Dental Services Of South Windsor, LLC?

Dental Services Of South Windsor, LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 9300.

Where does Dental Services Of South Windsor, LLC practice?

The practice location is 479 Buckland Road, South Windsor, CT 06074-3515. The office can be reached at 860-648-4471 (phone) or 860-648-0181 (fax).

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 1750302980 directly on the NPPES registry website.

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