National Provider Identifier Database

HOSPITAL DENTAL GROUP DDS PC
Residential Treatment Facility, Physical Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.


Contact Information

HOSPITAL DENTAL GROUP DDS PC
85 SEYMOUR ST
SUITE 922
HARTFORD, CT06106-5501
Phone: 860-524-5194
Fax: 860-349-4571
Website:
Specialty Taxonomy Code
* Residential Treatment Facility, Physical Disabilities 320700000X

* Indicates primary specialty

NPI Profile & details for HOSPITAL DENTAL GROUP DDS PC

NPI Number 1417389636
Legal business name
LBN
HOSPITAL DENTAL GROUP DDS PC
Authorized official ANATOLIY RAVIN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/31/2013
Last updated 07/31/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • CT License #: 008890

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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