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Contact Information

WESTERN CONNECTICUT DENTAL ARTS
120 PARK LANE RD
UNIT B201
NEW MILFORD, CT06776-2444
 Phone: 860-350-9232
 Fax: 860-355-9232
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for WESTERN CONNECTICUT DENTAL ARTS

NPI Number 1275934051
LBN Legal business name WESTERN CONNECTICUT DENTAL ARTS
Authorized official KEVIN STANTON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/11/2014
Last updated 09/23/2014 - About 12 years ago
Identifiers
CT License # 006219
CT License # 009825
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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