Family Dental Practice Pc

LBN: Family Dental Practice Pc
Family Dental Practice Pc is an health care organization with primary practice located at 316 Hope St , Stamford CT 06906-1704. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Family Dental Practice Pc can be contacted via phone (203) 353-8532, or through Goncharova, Olga via phone (203) 353-8532.

Contact Information

Primary practice address
316 Hope St Stamford CT 06906-1704
Phone: (203) 353-8532
Fax: (203) 353-8542
Website:
Map and Directions
Authorized official contact:
Name: Goncharova, Olga Doctor of Dental Surgery (DDS)
Phone: (203) 353-8532

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 008984 Connecticut

Profile Details

NPI number 1376789966
LBN Legal business name Family Dental Practice Pc
DBA Doing business as
Authorized official Goncharova, Olga Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2009
Last updated Jan 2nd, 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 1376789966 NPPES
Connecticut MEDICAID 002089846

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