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Contact Information

ADVANCE DENTAL CLINIC PC
477 CONNECTICUT BLVD
EAST HARTFORD, CT06108-3268
 Phone: 860-289-4080
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ADVANCE DENTAL CLINIC PC

NPI # 1174166631
LBN Legal business name ADVANCE DENTAL CLINIC PC
Authorized official NAYAKI GADDIPATI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/28/2019
Last updated 10/28/2019 - About 7 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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