Robert J. Mailloux Dmd

LBN: Robert J. Mailloux Dmd
Robert J. Mailloux Dmd is an health care organization with primary practice located at 397 New Britain Ave , Hartford CT 06106-3833. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Robert J. Mailloux Dmd can be contacted via phone (860) 247-1021, or through Mailloux, Robert J. via phone (860) 247-1021.

Contact Information

Primary practice address
397 New Britain Ave Hartford CT 06106-3833
Phone: (860) 247-1021
Fax: (860) 724-2379
Website:
Map and Directions
Authorized official contact:
Name: Mailloux, Robert J. Doctor of Dental Medicine (DMD)
Phone: (860) 247-1021

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5868 Connecticut

Profile Details

NPI number 1902053531
LBN Legal business name Robert J. Mailloux Dmd
DBA Doing business as
Authorized official Mailloux, Robert J. Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 26th, 2008
Last updated Jul 5th, 2011 - about 13 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 1902053531 NPPES
Connecticut MEDICAID 002058683
Connecticut MEDICAID 008001793

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