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Contact Information

ADVANTAGE DENTAL GROUP, LLC
1 CLINIC DR
NORWICH, CT06360
 Phone: 860-889-4044
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ADVANTAGE DENTAL GROUP, LLC

NPI # 1649482324
LBN Legal business name ADVANTAGE DENTAL GROUP, LLC
Authorized official ERIN VAN LEW - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/04/2007
Last updated 09/25/2009 - About 17 years ago
Identifiers
CT License # 9420
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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