Active NPIOrganization

Crystal Clear Family Dentistry Of CT

Dentist in Hartford, Connecticut

NPI Number1932580347
Practice location
330 Main St, Hartford, CT 06106-1860
Fax
—
Last updated
June 11, 2015

Crystal Clear Family Dentistry Of CT is a healthcare organization based in Hartford, CT. Crystal Clear Family Dentistry Of CT practices in Hartford, CT. The NPI Number for Crystal Clear Family Dentistry Of CT is 1932580347 and holds a License No. 010370 (CT). The current practice location address for Crystal Clear Family Dentistry Of CT is 330 Main St, Hartford, CT 06106-1860 and can be reached out via phone at 860-899-2804.

Provider Profile Details

NPI Number
1932580347
Provider Name
Crystal Clear Family Dentistry Of CT
Provider Entity Type
Organization
Address
330 Main St, Hartford, CT 06106-1860
Phone Number
860-899-2804
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Sarah Mekonnen, DDS · Owner · 860-899-2804
Provider Enumeration Date
June 11, 2015
Last Update Date
June 11, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
330 Main St
Hartford, CT 06106-1860
Zip
06106-1860
Phone Number
860-899-2804
Hartford, CT 06106Get directions →

Provider Business Mailing Address Details

Address
330 Main St
Hartford, CT 06106-1860
City
Hartford
State
CT
Zip
06106-1860
Phone Number
860-899-2804

License Information

License Number
010370
License State
CT
Taxonomy
Dentist · 122300000X · 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 Crystal Clear Family Dentistry Of CT?

The NPI number of Crystal Clear Family Dentistry Of CT is 1932580347. It was assigned on June 11, 2015 and is currently active in the NPPES registry.

What is the specialty of Crystal Clear Family Dentistry Of CT?

Crystal Clear Family Dentistry Of CT is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 010370.

Where does Crystal Clear Family Dentistry Of CT practice?

The practice location is 330 Main St, Hartford, CT 06106-1860. The office can be reached at 860-899-2804 (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 1932580347 directly on the NPPES registry website.

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