Charter Oak Dental Center Ll Llc

LBN: Charter Oak Dental Center Ll Llc
Charter Oak Dental Center Ll Llc is an health care organization with primary practice located at 165 East Main Street , New Britain CT 06051. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Charter Oak Dental Center Ll Llc can be contacted via phone (860) 224-0797, or through Blankschen, Angelina via phone (860) 997-0569.

Contact Information

Primary practice address
165 East Main Street New Britain CT 06051
Fax: (860) 224-0799
Website:
Authorized official contact:
Name: Blankschen, Angelina

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1619440732
LBN Legal business name Charter Oak Dental Center Ll Llc
DBA Doing business as
Authorized official Blankschen, Angelina
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2019
Last updated Jan 11th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619440732 NPPES
Connecticut Other 11063 CONNECTICUT DENTAL LICENSE

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