Active NPIOrganization

Dental Associate Group LLC

Dentist, General Practice in Trumbull, Connecticut

NPI Number1932404548
Practice location
4154 Madison Ave, 2ND Floor, Trumbull, CT 06611-3563
Fax
203-374-0002
Last updated
January 13, 2011

Dental Associate Group LLC is a healthcare organization based in Trumbull, CT. Dental Associate Group LLC practices in Trumbull, CT. The NPI Number for Dental Associate Group LLC is 1932404548 and holds a License No. 009413 (CT). The current practice location address for Dental Associate Group LLC is 4154 Madison Ave, 2ND Floor, Trumbull, CT 06611-3563 and can be reached out via phone at 203-374-0000 and via fax at 203-374-0002.

Provider Profile Details

NPI Number
1932404548
Provider Name
Dental Associate Group LLC
Provider Entity Type
Organization
Address
4154 Madison Ave, 2ND Floor, Trumbull, CT 06611-3563
Phone Number
203-374-0000
Fax Number
203-374-0002
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Sheikh M Ilyas, DDS · Owner · 203-374-0000
Provider Enumeration Date
January 13, 2011
Last Update Date
January 13, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
4154 Madison Ave
2ND Floor
Trumbull, CT 06611-3563
Zip
06611-3563
Phone Number
203-374-0000
Fax Number
203-374-0002
Trumbull, CT 06611Get directions →

Provider Business Mailing Address Details

Address
4154 Madison Ave
2ND Floor
Trumbull, CT 06611-3563
City
Trumbull
State
CT
Zip
06611-3563
Phone Number
203-374-0000
Fax Number
203-374-0002

License Information

License Number
009413
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 Dental Associate Group LLC?

The NPI number of Dental Associate Group LLC is 1932404548. It was assigned on January 13, 2011 and is currently active in the NPPES registry.

What is the specialty of Dental Associate Group LLC?

Dental Associate Group LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 009413.

Where does Dental Associate Group LLC practice?

The practice location is 4154 Madison Ave, 2ND Floor, Trumbull, CT 06611-3563. The office can be reached at 203-374-0000 (phone) or 203-374-0002 (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 1932404548 directly on the NPPES registry website.

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