Dr.Dental Of New Haven, Pc

LBN: Dr.Dental Of New Haven, Pc
Dr.Dental Of New Haven, Pc is an health care organization with primary practice located at 122 Amity Road , New Haven CT 06515. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Dr.Dental Of New Haven, Pc can be contacted via phone (203) 671-8949, or through Bosma, Kayne Michael via phone (203) 671-8949.

Contact Information

Primary practice address
122 Amity Road New Haven CT 06515
Phone: (203) 671-8949
Fax: (203) 288-3004
Website:
Map and Directions
Authorized official contact:
Name: Bosma, Kayne Michael
Phone: (203) 671-8949

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1104187673
LBN Legal business name Dr.Dental Of New Haven, Pc
DBA Doing business as
Authorized official Bosma, Kayne Michael
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2012
Last updated May 31st, 2012 - about 12 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 1104187673 NPPES
Connecticut MEDICAID 008007943

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