Dr. Altman And Dr. Kwon Dental Group

LBN: Dr. Altman And Dr. Kwon Dental Group
Dr. Altman And Dr. Kwon Dental Group is an health care organization with primary practice located at 1011 Main St , East Hartford CT 06108-2294. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Dentist is the primary health care specialty. Dr. Altman And Dr. Kwon Dental Group can be contacted via phone (860) 528-3350, or through Altman, Jeffrey via phone (860) 528-3350.

Contact Information

Primary practice address
1011 Main St East Hartford CT 06108-2294
Phone: (860) 528-3350
Fax: (860) 289-6875
Website:
Map and Directions
Authorized official contact:
Name: Altman, Jeffrey Doctor of Dental Surgery (DDS)
Phone: (860) 528-3350

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4715 Connecticut
Dental Providers / Dentist 122300000X 10110 Connecticut
Dental Providers / Pediatric Dentistry 1223P0221X 10004 Connecticut

Profile Details

NPI number 1760716401
LBN Legal business name Dr. Altman And Dr. Kwon Dental Group
DBA Doing business as
Authorized official Altman, Jeffrey Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2009
Last updated Sep 29th, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760716401 NPPES
Connecticut MEDICAID 1053481267
Connecticut MEDICAID 1770759961
Connecticut MEDICAID 1093048290

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