Blue Back Dental Llc

LBN: Blue Back Dental Llc
Blue Back Dental Llc is an health care organization with primary practice located at 65 Memorial Rd Ste 400 , West Hartford CT 06107-4219. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics. Dental Providers / General Practice is the primary health care specialty. Blue Back Dental Llc can be contacted via phone (860) 233-9300, or through Capozzi, Kirsten E via phone (860) 233-9300.

Contact Information

Primary practice address
65 Memorial Rd Ste 400 West Hartford CT 06107-4219
Phone: (860) 233-9300
Fax: (860) 233-9304
Website:
Map and Directions
Authorized official contact:
Name: Capozzi, Kirsten E
Phone: (860) 233-9300

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5904 Connecticut
Dental Providers / General Practice 1223G0001X 8915 Connecticut
Dental Providers / Periodontics 1223P0300X 5407 Connecticut

Profile Details

NPI number 1174814495
LBN Legal business name Blue Back Dental Llc
DBA Doing business as
Authorized official Capozzi, Kirsten E
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2011
Last updated Apr 20th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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