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Contact Information

HARTFORD FAMILY DENTIST LLC
778 BROAD ST
HARTFORD, CT06106-4689
 Phone: 860-525-7459
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for HARTFORD FAMILY DENTIST LLC

NPI Number 1902683071
LBN Legal business name HARTFORD FAMILY DENTIST LLC
Authorized official MOHAMMADREZA GHORBANIPARVAR - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/12/2023
Last updated 09/21/2023 - About 3 years ago
Identifiers n/a
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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