Charter Oak Dental Center Llc

LBN: Charter Oak Dental Center Llc
Charter Oak Dental Center Llc is an health care organization with primary practice located at 330 Main St , Hartford CT 06106-1860. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Charter Oak Dental Center Llc can be contacted via phone (860) 899-2804, or through Syed, Shakil U via phone (860) 899-2804.

Contact Information

Primary practice address
330 Main St Hartford CT 06106-1860
Phone: (860) 899-2804
Fax: (860) 899-2803
Website:
Map and Directions
Authorized official contact:
Name: Syed, Shakil U Doctor of Dental Surgery (DDS)
Phone: (860) 899-2804

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 11063 Connecticut

Profile Details

NPI number 1548635899
LBN Legal business name Charter Oak Dental Center Llc
DBA Doing business as
Authorized official Syed, Shakil U Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 10th, 2015
Last updated Dec 10th, 2015 - about 9 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 1548635899 NPPES
Connecticut Other 11063 CONNECTICUT DENTAL LICENSE NUMBER

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