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Contact Information

ORTHODONTIC SPECIALISTS OF CENTRAL CONNECTICUT
535 SAYBROOK RD
MIDDLETOWN, CT06457-4743
 Phone: 860-346-9259
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthodontics and Dentofacial Orthopedics

1223X0400X
Indicates primary specialty

NPI Profile & details for ORTHODONTIC SPECIALISTS OF CENTRAL CONNECTICUT · (Female)

NPI Number 1083826127
Status Active
Credentials
Entity Individual
Enumeration date 05/03/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # 009416
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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