Sgroup Llc
LBN: Modern Family Dental
Sgroup Llc is an health care organization with primary practice located at 360 Boston Ave Suite 17, Stratford CT 06614-5213. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / General Practice is the primary health care specialty.
Modern Family Dental can be contacted via phone (860) 437-3462, or through Mrowka, Linda via phone (860) 437-3462.
Contact Information
Primary practice address
360 Boston Ave Suite 17
Stratford CT 06614-5213
Phone: (860) 437-3462
Fax: (860) 437-3485
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | ||
| Dental Providers / Pediatric Dentistry | 1223P0221X | Connecticut | |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | Connecticut |
Profile Details
| NPI number | 1386035707 |
|---|---|
| LBN Legal business name | Modern Family Dental |
| DBA Doing business as | Sgroup Llc |
| Authorized official | Mrowka, Linda |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 6th, 2015 |
| Last updated | Sep 21st, 2015 - 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 | 1386035707 | NPPES |
| Connecticut | MEDICAID | 1386035707 | |
| Connecticut | MEDICAID | 1942579768 |
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