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Contact Information

ORTHODONTIC SPECIALISTS OF CENTRAL CONNECTICUT
535 SAYBROOK RD
MIDDLETOWN, CT06457-4743
 Phone: 860-346-9259
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthodontics and Dentofacial Orthopedics

1223X0400X
Indicates primary specialty

NPI Profile & details for ORTHODONTIC SPECIALISTS OF CENTRAL CONNECTICUT

NPI Number 1083826127
LBN Legal business name ORTHODONTIC SPECIALISTS OF CENTRAL CONNECTICUT
Authorized official PAUL BALDYGA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/03/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
CT License # 009416
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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