Pristine Smile Dental Pllc

LBN: Pristine Smile Dental Pllc
Pristine Smile Dental Pllc is an health care organization with primary practice located at 599 Main St Ste 4 , Manchester CT 06040-5156. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Pristine Smile Dental Pllc can be contacted via phone (860) 647-1565, or through Hernandez, Jason Lee via phone (860) 990-1792.

Contact Information

Primary practice address
599 Main St Ste 4 Manchester CT 06040-5156
Phone: (860) 647-1565
Fax: (860) 643-2796
Website:
Map and Directions
Authorized official contact:
Name: Hernandez, Jason Lee Doctor of Dental Medicine (DMD)
Phone: (860) 990-1792

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1316692106
LBN Legal business name Pristine Smile Dental Pllc
DBA Doing business as
Authorized official Hernandez, Jason Lee Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2022
Last updated Feb 20th, 2022 - about 4 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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