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Contact Information

HOUSATONIC VALLEY DENTAL CARE
60 CHURCH STREET
CANAAN, CT06018
 Phone: 860-559-2664
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental

261QD0000X
Indicates primary specialty

NPI Profile & details for HOUSATONIC VALLEY DENTAL CARE

NPI # 1023423399
LBN Legal business name HOUSATONIC VALLEY DENTAL CARE
Authorized official JOHN DANNON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/25/2014
Last updated 06/25/2014 - About 12 years ago
Identifiers
CT License # 10357
CT Medicaid 008032193
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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