Ajlr Dental Associates PC
Organization Active NPI General Practice Dentistry · Waterford, CT
NPI 1124355060 · NPPES record last updated Nov 13, 2009
Key facts
- NPI
- 1124355060
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 009716 (CT)
- Legal business name
- AJLR DENTAL ASSOCIATES PC
- Practice address
- 909 Hartford Tpke
D5
Waterford, CT 06385-4267 - Phone
- (860) 440-0700
- NPI assigned
- Nov 13, 2009
- Organization subpart
- No
Authorized official
- Name
- Richard Frank
- Title
- Owner
- Phone
- (866) 273-8204
Practitioners 1
-
Travis Lynell Thomas, DMD
National Provider Directory
Locations
909 Hartford Tpke
Ste D5
Waterford, CT 06385
Phone (860) 440-0700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 009716 | CT | Yes |
Addresses
Primary practice location
909 Hartford Tpke
D5
Waterford, CT 06385-4267
Mailing address
PO Box 3189
Syracuse, NY 13220-3189
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2009. 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.