Das, Adelina M
Das, Adelina M is an sole proprietor health care provider with primary practice located at 296 Country Club Rd Bldg A, Avon CT 06001-2546. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Das, Adelina M can be contacted via phone (860) 365-9021.Contact Information
Primary practice address
296 Country Club Rd Bldg A
Avon CT 06001-2546
Phone: (860) 365-9021
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 10680 | Connecticut |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DN1855898 | Massachusetts |
Profile Details
| NPI number | 1356613228 |
|---|---|
| LBN Legal business name | Das, Adelina M |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 7th, 2012 |
| Last updated | Sep 19th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356613228 | NPPES |
| Connecticut | MEDICAID | 008036969 | |
| Connecticut | MEDICAID | 110091454A |
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