Glastonbury Dental Associates Llp

LBN: Glastonbury Dental Associates Llp
Glastonbury Dental Associates Llp is an health care organization with primary practice located at 416 New London Tpke , Glastonbury CT 06033-2237. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Glastonbury Dental Associates Llp can be contacted via phone (860) 633-3671, or through Susat, Jonathan C via phone (860) 633-3671.

Contact Information

Primary practice address
416 New London Tpke Glastonbury CT 06033-2237
Phone: (860) 633-3671
Fax: (860) 633-9128
Website:
Map and Directions
Authorized official contact:
Name: Susat, Jonathan C Doctor of Dental Surgery (DDS)
Phone: (860) 633-3671

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1427189893
LBN Legal business name Glastonbury Dental Associates Llp
DBA Doing business as
Authorized official Susat, Jonathan C Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1427189893 NPPES
Connecticut Other Z12996 BC MA PROVIDER ID-GROUP
Connecticut Other 20772-1 BC MA PROVIDER ID-GROUP

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