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Contact Information

ADDISON VILLAGE DENTAL, INC
969 HEBRON AVE
GLASTONBURY, CT06033-5033
 Phone: 646-752-2005
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ADDISON VILLAGE DENTAL, INC

NPI Number 1265863518
LBN Legal business name ADDISON VILLAGE DENTAL, INC
Authorized official GABRIELA VATAFU - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/11/2013
Last updated 12/02/2021 - About 5 years ago
Identifiers
CT License # 009515
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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