<Unavail>
LBN: Sph2 Enterprise, Llc
<Unavail> is an health care organization with primary practice located at 191 Franklin Ave , Hartford CT 06114. The organization recently has 4 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Pediatric Dentistry, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / General Practice is the primary health care specialty.
Sph2 Enterprise, Llc can be contacted via phone (860) 296-7460, or through Devries, Diane via phone (860) 342-4141.
Contact Information
Primary practice address
191 Franklin Ave
Hartford CT 06114
Phone: (860) 296-7460
Fax: (860) 296-7459
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | CT009846 | Connecticut |
| Dental Providers / General Practice | 1223G0001X | CT009785 | Connecticut |
| Dental Providers / General Practice | 1223G0001X | CT009920 | Connecticut |
| Dental Providers / General Practice | 1223G0001X | 9846 | Connecticut |
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | Connecticut | |
| Dental Providers / Pediatric Dentistry | 1223P0221X | Connecticut | |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X |
Profile Details
| NPI number | 1245569748 |
|---|---|
| LBN Legal business name | Sph2 Enterprise, Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Devries, Diane |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 11th, 2009 |
| Last updated | Jun 17th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245569748 | NPPES |
| Connecticut | MEDICAID | 008002144 | |
| Connecticut | MEDICAID | 008002145 | |
| Connecticut | MEDICAID | 008002146 |
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