Active NPIOrganization

Durham Dental LLC

Dentist in Durham, Connecticut

NPI Number1790999019
Practice location
360 D Main Street, Durham, CT 06422
Fax
860-349-2040
Last updated
August 22, 2020

Durham Dental LLC is a healthcare organization based in Durham, CT. Durham Dental LLC practices in Durham, CT. The NPI Number for Durham Dental LLC is 1790999019 and holds a License No. 5206 (CT). The current practice location address for Durham Dental LLC is 360 D Main Street, Durham, CT 06422 and can be reached out via phone at 860-349-1123 and via fax at 860-349-2040.

Provider Profile Details

NPI Number
1790999019
Provider Name
Durham Dental LLC
Provider Entity Type
Organization
Address
360 D Main Street, Durham, CT 06422
Phone Number
860-349-1123
Fax Number
860-349-2040
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Dr. William J Witkowski, DMD · Dentist · 860-349-1123
Provider Enumeration Date
May 9, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
360 D Main Street
Durham, CT 06422
City
Durham
Zip
06422
Phone Number
860-349-1123
Fax Number
860-349-2040
Durham, CT 06422Get directions →

Provider Business Mailing Address Details

Address
Po Box 177
360 D Main Street
Durham, CT 06422
City
Durham
State
CT
Zip
06422
Phone Number
860-349-1123
Fax Number
860-349-2040

License Information

License Number (1)
5206
License State (1)
CT
Taxonomy (1)
Dentist · 122300000X
License Number (2)
5860
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 Durham Dental LLC?

The NPI number of Durham Dental LLC is 1790999019. It was assigned on May 9, 2007 and is currently active in the NPPES registry.

What is the specialty of Durham Dental LLC?

Durham Dental LLC is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 5206.

Where does Durham Dental LLC practice?

The practice location is 360 D Main Street, Durham, CT 06422. The office can be reached at 860-349-1123 (phone) or 860-349-2040 (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 1790999019 directly on the NPPES registry website.

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