Active NPIOrganization

Tiny Teeth General Dentistry LLC

Dentist, Pediatric Dentistry in Bristol, Connecticut

NPI Number1831415405
Practice location
710 King St, Bristol, CT 06010-4477
Fax
860-583-8470
Last updated
November 15, 2012

Tiny Teeth General Dentistry LLC is a healthcare organization based in Bristol, CT. Tiny Teeth General Dentistry LLC practices in Bristol, CT. The NPI Number for Tiny Teeth General Dentistry LLC is 1831415405. The current practice location address for Tiny Teeth General Dentistry LLC is 710 King St, Bristol, CT 06010-4477 and can be reached out via phone at 860-583-8469 and via fax at 860-583-8470.

Provider Profile Details

NPI Number
1831415405
Provider Name
Tiny Teeth General Dentistry LLC
Provider Entity Type
Organization
Address
710 King St, Bristol, CT 06010-4477
Phone Number
860-583-8469
Fax Number
860-583-8470
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Organization Subpart
No
Authorized Official
Dr. Jamie Motyka, DMD · Owner · 860-583-8469
Provider Enumeration Date
April 8, 2010
Last Update Date
November 15, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
710 King St
Bristol, CT 06010-4477
Zip
06010-4477
Phone Number
860-583-8469
Fax Number
860-583-8470
Bristol, CT 06010Get directions →

Provider Business Mailing Address Details

Address
710 King St
Bristol, CT 06010-4477
City
Bristol
State
CT
Zip
06010-4477
Phone Number
860-583-8469
Fax Number
860-583-8470

License Information

Taxonomy (1)
Dentist, General Practice · 1223G0001X
Taxonomy (2)
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 Tiny Teeth General Dentistry LLC?

The NPI number of Tiny Teeth General Dentistry LLC is 1831415405. It was assigned on April 8, 2010 and is currently active in the NPPES registry.

What is the specialty of Tiny Teeth General Dentistry LLC?

Tiny Teeth General Dentistry LLC is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X).

Where does Tiny Teeth General Dentistry LLC practice?

The practice location is 710 King St, Bristol, CT 06010-4477. The office can be reached at 860-583-8469 (phone) or 860-583-8470 (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 1831415405 directly on the NPPES registry website.

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