Fairfield Dental Care

LBN: Yankee Family Dental Care
Fairfield Dental Care is an health care organization with primary practice located at 267 Center St , West Haven CT 06516-4405. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Yankee Family Dental Care can be contacted via phone (203) 932-3700, or through Hacker, Glen via phone (203) 932-3700.

Contact Information

Primary practice address
267 Center St West Haven CT 06516-4405
Phone: (203) 932-3700
Fax: (475) 238-8291
Website:
Map and Directions
Authorized official contact:
Name: Hacker, Glen Doctor of Dental Surgery (DDS)
Phone: (203) 932-3700

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7148 Connecticut

Profile Details

NPI number 1316233182
LBN Legal business name Yankee Family Dental Care
DBA Doing business as Fairfield Dental Care
Authorized official Hacker, Glen Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2011
Last updated Jun 21st, 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 1316233182 NPPES
Connecticut MEDICAID 1871668053

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