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Contact Information

AMBULATORY DENTAL ANESTHESIA ASSOCIATES, LLC
607 ASPEN LN
ORANGE, CT06477-2161
 Phone: 203-804-8875
 Fax: 203-306-3019
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for AMBULATORY DENTAL ANESTHESIA ASSOCIATES, LLC

NPI # 1184960825
LBN Legal business name AMBULATORY DENTAL ANESTHESIA ASSOCIATES, LLC
Authorized official CHESTER SOKOLOWSKI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/28/2012
Last updated 01/31/2013 - About 13 years ago
Identifiers
CT License # 6903
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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