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Contact Information

AMAZING SMILE FAMILY DENTISTERY
580 BURNSIDE AVE
SUITE# 6
EAST HARTFORD, CT06108-3567
 Phone: 860-282-9000
 Fax: 860-282-9005
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for AMAZING SMILE FAMILY DENTISTERY

NPI # 1154757185
LBN Legal business name AMAZING SMILE FAMILY DENTISTERY
Authorized official NAEEM MIAN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/23/2013
Last updated 09/23/2013 - About 13 years ago
Identifiers
CT License # 009138
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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