Dr. Altman And Dr. Kwon Dental Group
LBN: Dr. Altman And Dr. Kwon Dental Group
Dr. Altman And Dr. Kwon Dental Group is an health care organization with primary practice located at 1011 Main St , East Hartford CT 06108-2294. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Dentist is the primary health care specialty.
Dr. Altman And Dr. Kwon Dental Group can be contacted via phone (860) 528-3350, or through Altman, Jeffrey via phone (860) 528-3350.
Contact Information
Primary practice address
1011 Main St
East Hartford CT 06108-2294
Phone: (860) 528-3350
Fax: (860) 289-6875
Website:
Authorized official contact:
Name: Altman, Jeffrey Doctor of Dental Surgery (DDS)
Phone: (860) 528-3350
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 4715 | Connecticut |
| Dental Providers / Dentist | 122300000X | 10110 | Connecticut |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 10004 | Connecticut |
Profile Details
| NPI number | 1760716401 |
|---|---|
| LBN Legal business name | Dr. Altman And Dr. Kwon Dental Group |
| DBA Doing business as | |
| Authorized official | Altman, Jeffrey Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 29th, 2009 |
| Last updated | Sep 29th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760716401 | NPPES |
| Connecticut | MEDICAID | 1053481267 | |
| Connecticut | MEDICAID | 1770759961 | |
| Connecticut | MEDICAID | 1093048290 |
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