Bethany Sr PLLC
Organization Active NPI Dental Clinic/Center · Redding, CT
NPI 1104450956 · NPPES record last updated Mar 1, 2020
Key facts
- NPI
- 1104450956
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- BETHANY SR PLLC
- Practice address
- 2 Long Ridge Rd
Redding, CT 06896-1111 - Phone
- (203) 664-1994
- NPI assigned
- Mar 1, 2020
- Organization subpart
- No
Authorized official
- Name
- Dr. Sean Lee, DDS
- Title
- Officer
- Phone
- (949) 394-3378
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
2 Long Ridge Rd
Redding, CT 06896-1111
Mailing address
2 Long Ridge Rd
Redding, CT 06896-1111
Phone (203) 664-1994
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | online | Direct |
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- Lori Broderick
- Alessandra Bryant
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All providers in Redding, CT · Dental Clinic/Center in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.