Active NPIOrganization

Avon Family And Cosmetic Dentistry LLC

Dentist, General Practice in Avon, Connecticut

NPI Number1861937492
Practice location
39 E Main St, Avon, CT 06001-3841
Fax
860-254-6956
Last updated
July 31, 2020

Avon Family And Cosmetic Dentistry LLC is a healthcare organization based in Avon, CT. Avon Family And Cosmetic Dentistry LLC practices in Avon, CT. The NPI Number for Avon Family And Cosmetic Dentistry LLC is 1861937492 and holds a License No. 010189 (CT). The current practice location address for Avon Family And Cosmetic Dentistry LLC is 39 E Main St, Avon, CT 06001-3841 and can be reached out via phone at 860-830-4711 and via fax at 860-254-6956.

Provider Profile Details

NPI Number
1861937492
Provider Name
Avon Family And Cosmetic Dentistry LLC
Provider Entity Type
Organization
Address
39 E Main St, Avon, CT 06001-3841
Phone Number
860-830-4711
Fax Number
860-254-6956
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
Yes
Parent Organization
My Enfield Dentist LLC
Authorized Official
Dr. Rakesh Kumar, DDS · Member · 860-254-6955
Other Names
Avon Laser And Cosmetic Dentistry LLC (Former Legal Business Name)
Provider Enumeration Date
January 6, 2017
Last Update Date
July 31, 2020
Certification Date
July 31, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
39 E Main St
Avon, CT 06001-3841
City
Avon
Zip
06001-3841
Phone Number
860-830-4711
Fax Number
860-254-6956
Avon, CT 06001Get directions →

Provider Business Mailing Address Details

Address
39 E Main St Ste 3S
Avon, CT 06001-3841
City
Avon
State
CT
Zip
06001-3841
Phone Number
860-674-0707
Fax Number
860-678-8440

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 Avon Family And Cosmetic Dentistry LLC?

The NPI number of Avon Family And Cosmetic Dentistry LLC is 1861937492. It was assigned on January 6, 2017 and is currently active in the NPPES registry.

What is the specialty of Avon Family And Cosmetic Dentistry LLC?

Avon Family And Cosmetic Dentistry LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 010189.

Where does Avon Family And Cosmetic Dentistry LLC practice?

The practice location is 39 E Main St, Avon, CT 06001-3841. The office can be reached at 860-830-4711 (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 1861937492 directly on the NPPES registry website.

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