National Provider Identifier Database

DIAMOND DENTAL LLC
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

DIAMOND DENTAL LLC
274 S MAIN ST
UNIT C9
NEWTOWN, CT06470-6705
Phone: 203-403-2446
Fax:
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for DIAMOND DENTAL LLC

NPI Number 1396113064
Legal business name
LBN
DIAMOND DENTAL LLC
Authorized official RATNA VEDULLAPALLI - (MEMBER, OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/10/2015
Last updated 09/10/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • CT License #: 010135
  • IL Other: 1720217953 NPPES

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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