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Contact Information

ADULT AND PEDIATRIC DENTAL CARE OF WESTPORT,LLC
22 IMPERIAL AVE
WESTPORT, CT06880-4301
 Phone: 203-227-3709
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ADULT AND PEDIATRIC DENTAL CARE OF WESTPORT,LLC

NPI Number 1891244950
LBN Legal business name ADULT AND PEDIATRIC DENTAL CARE OF WESTPORT,LLC
Authorized official ADAM FREEMAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/29/2016
Last updated 09/29/2016 - About 10 years 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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