Premier Dental P C

LBN: Premier Dental P C
Premier Dental P C is an health care organization with primary practice located at 727 Broad St , Meriden CT 06450-4341. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Prosthodontics, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment. Suppliers / Customized Equipment is the primary health care specialty. Premier Dental P C can be contacted via phone (203) 235-1415, or through Simanovich, Polina P via phone (203) 235-1415.

Contact Information

Primary practice address
727 Broad St Meriden CT 06450-4341
Phone: (203) 235-1415
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Simanovich, Polina P
Phone: (203) 235-1415

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X 10452 Connecticut
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1710394903
LBN Legal business name Premier Dental P C
DBA Doing business as
Authorized official Simanovich, Polina P
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2014
Last updated May 3rd, 2023 - about 3 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 1710394903 NPPES
Connecticut Other 7807300001 PTAN MEDICARE NSC

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