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Contact Information

KELLY PALCHIK DMD, PC
84 MAIN ST S
WOODBURY, CT06798-3403
 Phone: 203-263-2853
 Fax: 203-263-2859
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for KELLY PALCHIK DMD, PC

NPI # 1003212937
LBN Legal business name KELLY PALCHIK DMD, PC
Authorized official KELLY PALCHIK - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/04/2014
Last updated 11/04/2014 - About 12 years ago
Identifiers
CT License # 010935
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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