Elite Dental

LBN: Elite Dental
Elite Dental is an health care organization with primary practice located at 1 Willowbrook Rd Suite 1, Cromwell CT 06416-1101. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Elite Dental can be contacted via phone (860) 740-5009, or through Nguyen, James via phone (860) 740-5096.

Contact Information

Primary practice address
1 Willowbrook Rd Suite 1 Cromwell CT 06416-1101
Phone: (860) 740-5009
Fax: (860) 316-5861
Website:
Map and Directions
Authorized official contact:
Name: Nguyen, James
Phone: (860) 740-5096

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1366891509
LBN Legal business name Elite Dental
DBA Doing business as
Authorized official Nguyen, James
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2016
Last updated Jun 14th, 2016 - about 10 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 1366891509 NPPES
Connecticut MEDICAID 1801913660

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