Active NPIOrganization

Just4kidzdentistry

Dentist, Pediatric Dentistry in Southington, Connecticut

NPI Number1790116036
Practice location
1115 West St, Suite #4, Southington, CT 06489-1023
Fax
—
Last updated
December 12, 2013

Just4kidzdentistry is a healthcare organization based in Southington, CT. Just4kidzdentistry practices in Southington, CT. The NPI Number for Just4kidzdentistry is 1790116036 and holds a License No. 008492 (CT). The current practice location address for Just4kidzdentistry is 1115 West St, Suite #4, Southington, CT 06489-1023 and can be reached out via phone at 860-426-1470.

Provider Profile Details

NPI Number
1790116036
Provider Name
Just4kidzdentistry
Provider Entity Type
Organization
Address
1115 West St, Suite #4, Southington, CT 06489-1023
Phone Number
860-426-1470
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Organization Subpart
No
Authorized Official
Dr. Celeste Wegrzyn Religa, DMD · Owner · 860-426-1470
Provider Enumeration Date
December 12, 2013
Last Update Date
December 12, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
1115 West St
Suite #4
Southington, CT 06489-1023
Zip
06489-1023
Phone Number
860-426-1470
Southington, CT 06489Get directions →

Provider Business Mailing Address Details

Address
1115 West St
Suite #4
Southington, CT 06489-1023
City
Southington
State
CT
Zip
06489-1023
Phone Number
860-426-1470

License Information

License Number
008492
License State
CT
Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X · 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 Just4kidzdentistry?

The NPI number of Just4kidzdentistry is 1790116036. It was assigned on December 12, 2013 and is currently active in the NPPES registry.

What is the specialty of Just4kidzdentistry?

Just4kidzdentistry is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in CT under license number 008492.

Where does Just4kidzdentistry practice?

The practice location is 1115 West St, Suite #4, Southington, CT 06489-1023. The office can be reached at 860-426-1470 (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 1790116036 directly on the NPPES registry website.

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