Children'S Dental Associates Of Nlc, Pc

LBN: Children'S Dental Associates Of Nlc, Pc
Children'S Dental Associates Of Nlc, Pc is an health care organization with primary practice located at 392 Salem Tpke , Bozrah CT 06334-1519. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Children'S Dental Associates Of Nlc, Pc can be contacted via phone (860) 886-5576, or through Herter, Michelle S via phone (860) 886-5576.

Contact Information

Primary practice address
392 Salem Tpke Bozrah CT 06334-1519
Phone: (860) 886-5576
Fax: (860) 885-1379
Website:
Map and Directions
Authorized official contact:
Name: Herter, Michelle S
Phone: (860) 886-5576

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1225028657
LBN Legal business name Children'S Dental Associates Of Nlc, Pc
DBA Doing business as
Authorized official Herter, Michelle S
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2005
Last updated Jan 11th, 2011 - about 14 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 1225028657 NPPES
Connecticut MEDICAID 004119211

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