Active NPIOrganization

My Enfield Dentist, LLC

Dentist, General Practice in East Windsor, Connecticut

NPI Number1790004885
Practice location
44 S Main St Ste 14, East Windsor, CT 06088-1702
Fax
860-254-6956
Last updated
July 30, 2020

My Enfield Dentist, LLC is a healthcare organization based in East Windsor, CT. My Enfield Dentist, LLC practices in East Windsor, CT. The NPI Number for My Enfield Dentist, LLC is 1790004885 and holds a License No. 010189 (CT). The current practice location address for My Enfield Dentist, LLC is 44 S Main St Ste 14, East Windsor, CT 06088-1702 and can be reached out via phone at 860-254-6955 and via fax at 860-254-6956.

Provider Profile Details

NPI Number
1790004885
Provider Name
My Enfield Dentist, LLC
Provider Entity Type
Organization
Address
44 S Main St Ste 14, East Windsor, CT 06088-1702
Phone Number
860-254-6955
Fax Number
860-254-6956
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Rakesh Kumar, DDS · Manager · 860-254-6955
Other Names
Essel Dental (Doing Business As)
Provider Enumeration Date
May 27, 2010
Last Update Date
July 30, 2020
Certification Date
July 30, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
44 S Main St Ste 14
East Windsor, CT 06088-1702
Zip
06088-1702
Phone Number
860-254-6955
Fax Number
860-254-6956
East Windsor, CT 06088Get directions →

Provider Business Mailing Address Details

Address
44 S Main St Ste 14
East Windsor, CT 06088-1702
City
East Windsor
State
CT
Zip
06088-1702
Phone Number
860-254-6955
Fax Number
860-254-6956

License Information

License Number
010189
License State
CT
Taxonomy
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 My Enfield Dentist, LLC?

The NPI number of My Enfield Dentist, LLC is 1790004885. It was assigned on May 27, 2010 and is currently active in the NPPES registry.

What is the specialty of My Enfield Dentist, LLC?

My Enfield Dentist, LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 010189.

Where does My Enfield Dentist, LLC practice?

The practice location is 44 S Main St Ste 14, East Windsor, CT 06088-1702. The office can be reached at 860-254-6955 (phone) or 860-254-6956 (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 1790004885 directly on the NPPES registry website.

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