East Hampton Family Dental
Organization Active NPI General Practice Dentistry · East Hampton, CT
NPI 1609311604 · NPPES record last updated Dec 29, 2016
Key facts
- NPI
- 1609311604
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 11346 (CT)
- Legal business name
- EAST HAMPTON FAMILY DENTAL
- Practice address
- 41 W High St
East Hampton, CT 06424-1024 - Phone
- (860) 267-9904
- Fax
- (860) 267-7270
- NPI assigned
- Dec 29, 2016
- Organization subpart
- No
Authorized official
- Name
- Vijayalakshmi Canakalavenkata, DMD
- Title
- Owner
- Phone
- (860) 267-9904
Practitioners 1
-
Richard Allen Brown, D.M.D.
National Provider Directory
Locations
41 W High St
East Hampton, CT 06424
Phone (860) 267-9904
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 11346 | CT | Yes |
Addresses
Primary practice location
41 W High St
East Hampton, CT 06424-1024
Mailing address
41 W High St
East Hampton, CT 06424-1024
Phone (860) 267-9904
Other providers in East Hampton, CT
- Emma Dzamko
- East Hampton Ambulance Association Inc
- East Hampton Board of Education
- East Hampton Chiropractic
- East Hampton Eye Care
- Walaa Farag
- Louisa L Foss
- Shelly Foster
- Octavia Francis-Person
- Susan Freeman
All providers in East Hampton, CT · General Practice Dentistry in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2016. 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.