Samreen, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SAMREEN, LLC

Practice address

775 Queen St
Suite 2
Southington, CT 06489

Phone

(203) 378-2760

NPI assigned

Nov 16, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Parneet Bajwa

Title

Owner

Phone

(203) 378-2760

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1447763131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 QUEEN ST",
            "address_2": "SUITE 2",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "06489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 QUEEN ST",
            "address_2": "SUITE 2",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "06489",
            "telephone_number": "203-378-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMREEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "BAJWA",
        "authorized_official_first_name": "PARNEET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-378-2760"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770025512",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Southington, CT
• Providers in Southington, CT by specialty
• Dental Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.