The Smile Studio At Bushnell Park

LBN: The Smile Studio At Bushnell Park
The Smile Studio At Bushnell Park is an health care organization with primary practice located at 1 Gold St Ste Q , Hartford CT 06103-2914. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. The Smile Studio At Bushnell Park can be contacted via phone (860) 728-5264, or through Wilson, Bryan via phone (860) 728-5264.

Contact Information

Primary practice address
1 Gold St Ste Q Hartford CT 06103-2914
Phone: (860) 728-5264
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Bryan Doctor of Dental Surgery (DDS)
Phone: (860) 728-5264

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1295374296
LBN Legal business name The Smile Studio At Bushnell Park
DBA Doing business as
Authorized official Wilson, Bryan Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 23rd, 2019
Last updated Dec 23rd, 2019 - about 7 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 1295374296 NPPES
Connecticut Other 1093881534 NPI

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