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Contact Information

ADVANCED DENTAL PLLC
717 NEWFIELD ST
MIDDLETOWN, CT06457-1815
 Phone: 860-347-1227
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ADVANCED DENTAL PLLC

NPI Number 1639068786
LBN Legal business name ADVANCED DENTAL PLLC
Authorized official JOHN PAVLAKIS - (OWNER/DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 07/02/2025
Last updated 07/02/2025 - About 11 months 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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