Nova Dental East Llc

LBN: Nova Dental East Llc
Nova Dental East Llc is an health care organization with primary practice located at 1241 S Broad St , Wallingford CT 06492-1737. The organization recently has 4 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is the primary health care specialty. Nova Dental East Llc can be contacted via phone (203) 626-5745, or through Ijaz, Asma via phone (203) 626-5745.

Contact Information

Primary practice address
1241 S Broad St Wallingford CT 06492-1737
Phone: (203) 626-5745
Fax: (203) 626-9213
Website:
Map and Directions
Authorized official contact:
Name: Ijaz, Asma Doctor of Dental Surgery (DDS)
Phone: (203) 626-5745

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 9252 Connecticut
Dental Providers / General Practice 1223G0001X 9252 Connecticut
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 9252 Connecticut
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 9252 Connecticut

Profile Details

NPI number 1629313077
LBN Legal business name Nova Dental East Llc
DBA Doing business as
Authorized official Ijaz, Asma Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2012
Last updated May 7th, 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.

Request for update

Popular Providers