NFD

Organization Active NPI Dentist · South Glastonbury, CT

NPI 1124643986 · NPPES record last updated Jun 8, 2020

Key facts

NPI
1124643986
Entity type
Organization (NPI type 2)
Primary specialty
Dentist 122300000X
Legal business name
NFD
Practice address
875 Main St
South Glastonbury, CT 06073-2218
Phone
(860) 633-6167
NPI assigned
Jun 8, 2020
Organization subpart
No

Authorized official

Name
Dr. Sidra Yaseen, DDS
Title
Owner
Phone
(860) 633-6167

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193200000X MULTI-SPECIALTY GROUP
122300000X Yes

Addresses

Primary practice location

875 Main St
South Glastonbury, CT 06073-2218

Mailing address

14 Pasture LN
South Glastonbury, CT 06073-2322
Phone (484) 664-9623

Other names

  • Nayaug Family Dental Doing business as

Other providers in South Glastonbury, CT

All providers in South Glastonbury, CT · Dentist in Connecticut

Sources for this page

Verify at the official NPI Registry.