Hartford Smiles Youth Dentistry, Pc
LBN: Hartford Smiles Youth Dentistry, Pc
Hartford Smiles Youth Dentistry, Pc is an health care organization with primary practice located at 272 Franklin Ave , Hartford CT 06114-1848. The organization recently has 5 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is the primary health care specialty.
Hartford Smiles Youth Dentistry, Pc can be contacted via phone (860) 296-5437, or through Stump, Jenell via phone (615) 750-0343.
Contact Information
Primary practice address
272 Franklin Ave
Hartford CT 06114-1848
Phone: (860) 296-5437
Fax: (860) 296-5454
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | ||
| Dental Providers / General Practice | 1223G0001X | ||
| Dental Providers / Pediatric Dentistry | 1223P0221X | ||
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | ||
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X |
Profile Details
| NPI number | 1265620082 |
|---|---|
| LBN Legal business name | Hartford Smiles Youth Dentistry, Pc |
| DBA Doing business as | |
| Authorized official | Stump, Jenell |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 5th, 2007 |
| Last updated | Jul 9th, 2014 - about 10 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 | 1265620082 | NPPES |
| Connecticut | MEDICAID | 500000056 |
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