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Contact Information

AVON CENTER DENTISTRY
19 ENSIGN DRIVE
AVON, CT06001
 Phone: 860-404-5494
 Fax: 860-404-5582
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Periodontics

1223P0300X
Indicates primary specialty

NPI Profile & details for AVON CENTER DENTISTRY

NPI Number 1649618901
LBN Legal business name AVON CENTER DENTISTRY
Authorized official JAMES BUSSIERE - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/10/2013
Last updated 06/10/2013 - About 13 years ago
Identifiers
CT License # 7753
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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