Connecticut Dental Professionals, P.c.
Dentist, General Practice in Mansfield Center, Connecticut
1811508062- Practice location
- 203 Storrs RD, Mansfield Center, CT 06250-1638
- Phone
- 860-423-9717
- Fax
- —
- Last updated
- August 12, 2020
Connecticut Dental Professionals, P.c. is a healthcare organization based in Mansfield Center, CT. Connecticut Dental Professionals, P.c. practices in Mansfield Center, CT. The NPI Number for Connecticut Dental Professionals, P.c. is 1811508062. The current practice location address for Connecticut Dental Professionals, P.c. is 203 Storrs RD, Mansfield Center, CT 06250-1638 and can be reached out via phone at 860-423-9717.
Provider Profile Details
- NPI Number
- 1811508062
- Provider Name
- Connecticut Dental Professionals, P.c.
- Provider Entity Type
- Organization
- Address
- 203 Storrs RD, Mansfield Center, CT 06250-1638
- Phone Number
- 860-423-9717
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- Yes
- Parent Organization
- Connecticut Dental Professionals, P.c.
- Authorized Official
- Tabatha Lemke · Credentialing Coordinator · 217-540-6078
- Other Names
- Reservoir Commons Dental Associates (Doing Business As)
- Provider Enumeration Date
- August 12, 2020
- Last Update Date
- August 12, 2020
- Certification Date
- August 12, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 203 Storrs RD
Mansfield Center, CT 06250-1638 - City
- Mansfield Center
- State
- Connecticut
- Zip
- 06250-1638
- Phone Number
- 860-423-9717
Provider Business Mailing Address Details
- Address
- 203 Storrs RD
Mansfield Center, CT 06250-1638 - City
- Mansfield Center
- State
- CT
- Zip
- 06250-1638
- Phone Number
- 860-423-9717
License Information
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Mansfield Center, CT
View all Dentist, General Practice providers in Mansfield Center →Frequently Asked Questions
What is the NPI number of Connecticut Dental Professionals, P.c.?
The NPI number of Connecticut Dental Professionals, P.c. is 1811508062. It was assigned on August 12, 2020 and is currently active in the NPPES registry.
What is the specialty of Connecticut Dental Professionals, P.c.?
Connecticut Dental Professionals, P.c. is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).
Where does Connecticut Dental Professionals, P.c. practice?
The practice location is 203 Storrs RD, Mansfield Center, CT 06250-1638. The office can be reached at 860-423-9717 (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 1811508062 directly on the NPPES registry website.