CT Dental LLC
Dentist, General Practice in Waterbury, Connecticut
1881987964- Practice location
- 171 Grandview Ave, Suite 103, Waterbury, CT 06708-2517
- Phone
- 203-574-2725
- Fax
- 203-574-2726
- Last updated
- January 7, 2015
CT Dental LLC is a healthcare organization based in Waterbury, CT. CT Dental LLC practices in Waterbury, CT. The NPI Number for CT Dental LLC is 1881987964 and holds a License No. 010282 (CT). The current practice location address for CT Dental LLC is 171 Grandview Ave, Suite 103, Waterbury, CT 06708-2517 and can be reached out via phone at 203-574-2725 and via fax at 203-574-2726.
Provider Profile Details
- NPI Number
- 1881987964
- Provider Name
- CT Dental LLC
- Provider Entity Type
- Organization
- Address
- 171 Grandview Ave, Suite 103, Waterbury, CT 06708-2517
- Phone Number
- 203-574-2725
- Fax Number
- 203-574-2726
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Tulasi N Vikram, DDS · Owner · 203-574-2725
- Other Names
- Connecticut Family Dental (Doing Business As)
- Provider Enumeration Date
- May 23, 2011
- Last Update Date
- January 7, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 171 Grandview Ave
Suite 103
Waterbury, CT 06708-2517 - City
- Waterbury
- State
- Connecticut
- Zip
- 06708-2517
- Phone Number
- 203-574-2725
- Fax Number
- 203-574-2726
Provider Business Mailing Address Details
- Address
- 171 Grandview Ave
Suite 103
Waterbury, CT 06708-2517 - City
- Waterbury
- State
- CT
- Zip
- 06708-2517
- Phone Number
- 203-574-2725
- Fax Number
- 203-574-2726
License Information
- License State (1)
- CT
- Taxonomy (1)
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
- Taxonomy (2)
- Dentist, Endodontics · 1223E0200X
- License Number (3)
- 010282
- License State (3)
- CT
- Taxonomy (3)
- 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. | |||
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Frequently Asked Questions
What is the NPI number of CT Dental LLC?
The NPI number of CT Dental LLC is 1881987964. It was assigned on May 23, 2011 and is currently active in the NPPES registry.
What is the specialty of CT Dental LLC?
CT Dental LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 010282.
Where does CT Dental LLC practice?
The practice location is 171 Grandview Ave, Suite 103, Waterbury, CT 06708-2517. The office can be reached at 203-574-2725 (phone) or 203-574-2726 (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 1881987964 directly on the NPPES registry website.